首页|依达拉奉右莰醇与丁苯酞联合应用于急性进展性脑梗死患者的效果观察

依达拉奉右莰醇与丁苯酞联合应用于急性进展性脑梗死患者的效果观察

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目的 探究依达拉奉右莰醇联合丁苯酞在治疗急性进展性脑梗死患者中的应用效果.方法 选择 2022 年5月—2023年 5 月我院收治的 150 例急性进展性脑梗死患者为研究对象,按随机数字表法将其分为对照组和观察组,各75 例.对照组采用丁苯酞氯化钠治疗,观察组采用依达拉奉右莰醇与丁苯酞联合治疗.比较两组临床疗效、神经功能、血液流变学指标、炎症因子水平及不良反应发生情况.结果 观察组治疗总有效率 92.00%高于对照组的 80.00%,差异有统计学意义(P<0.05).治疗后,观察组美国国立卫生院卒中量表评分、全血高切黏度、全血低切黏度、血浆黏度均低于对照组,组间差异有统计学意义(P<0.05);观察组肿瘤坏死因子-α、高敏C反应蛋白、白细胞介素-8 水平均低于对照组,组间差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 依达拉奉右莰醇与丁苯酞联用治疗急性进展性脑梗死效果确切,可改善患者神经功能及血液流变学指标,减轻炎症反应,具备较高的安全性.
Observation on the Efficacy of the Combination of Edaravone and Butylphthalide in Patients with Acute Progressive Cerebral Infarction
Objective This study aims to investigate the therapeutic effect of combining Edaravone Dexacamphene with Butylphthalein in patients with acute progressive cerebral infarction.Methods A total of 150 patients with acute progressive cerebral infarction admitted to our hospital from May 2022 to May 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group using a random number table method,with 75 cases in each group.The control group received sodium butylphthalide chloride treatment,while the observation group received a combination therapy of edaravone camphor and butylphthalide.Clinical efficacy,neurological function,hemorheological indicators,inflammatory cytokine levels,and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 92.00%higher than 80.00%of the control group,the difference was statistically significant(P<0.05).After treatment,the observation group had lower scores on the National Institutes of Health Stroke Scale,whole blood high shear viscosity,whole blood low shear viscosity,and plasma viscosity than the control group,with statistically significant differences between the groups(P<0.05);the average levels of tumor necrosis factor-α,high-sensitivity C-reactive protein,and interleukin-8 in the observation group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Combining edaravone and butylphthalide demonstrates definite efficacy in treating acute progressive cerebral infarction by improving neurological function and hemorheological indicators while reducing inflammatory reactions;moreover it exhibits high safety.

Acute progressive cerebral infarctionEdaravone camphorButylphthaleinNeurological functionHemorhe-ology

周超

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鱼台县人民医院神经内科,山东济宁 272300

急性进展性脑梗死 依达拉奉右莰醇 丁苯酞 神经功能 血液流变学

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(16)