首页|丁苯酞软胶囊联合阿托伐他汀治疗对急性脑梗死患者氧化应激及血流动力学的影响

丁苯酞软胶囊联合阿托伐他汀治疗对急性脑梗死患者氧化应激及血流动力学的影响

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目的 探讨丁苯酞软胶囊联合阿托伐他汀治疗急性脑梗死的临床效果及安全性.方法 选取 2019 年 10月—2021年 10 月东昌府人民医院收治的 88 例急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,每组 44 例.对照组患者给予阿托伐他汀治疗,观察组患者在对照组基础上给予丁苯酞软胶囊治疗,对比两组的临床疗效、神经功能、氧化应激水平、血流动力学指标、血脂水平、不良反应发生情况.结果 观察组治疗总有效率为95.45%,高于对照组的 81.82%,差异有统计学意义(P﹤0.05);治疗后,观察组美国国立卫生研究院脑卒中量表评分低于对照组,丙二醛、总胆固醇、甘油三酯、低密度脂蛋白胆固醇水平均低于对照组,超氧化物岐化酶、谷胱甘肽过氧化物酶水平均高于对照组,大脑中动脉收缩期最大峰值速度、舒张末期流速、平均血流速度均快于对照组,组间差异有统计学意义(P﹤0.05);两组不良反应发生情况,差异无统计学意义(P﹥0.05).结论 丁苯酞软胶囊联合阿托伐他汀治疗急性脑梗死患者可提高治疗效果,纠正患者的脂代谢异常,改善其脑部血流动力学指标,抑制氧化应激反应,减轻神经功能损害,且安全可靠.
Effects of Butylphthalein Softgel Combined with Atorvastatin on Oxidative Stress and Hemodynamics in Patients with Acute Cerebral Infarction
Objective To investigate the clinical effect and safety of butylphthalein softgel combined with atorvastatin in the treatment of acute cerebral infarction.Methods A total of 88 patients with acute cerebral infarction admitted to Dongchangfu People's Hospital from October 2019 to October 2021 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 44 cases in each group.The control group was treated with atorvastatin,and the observation group was treated with butylphthalein softgel on the basis of the control group.The clinical efficacy,nerve function,oxidative stress level,hemodynamic indicators,blood lipid level and occurrence of adverse reactions of the two groups were compared.Results The total effective rate of the observation group was 95.45%,higher than 81.82%of the control group,and the difference was statistically significant(P﹤0.05);after treatment,the National Institute of Health Stroke Scale score of the observation group was lower than that of the control group,the levels of malondialdehyde,total cholesterol,triglyceride and low density lipoprotein cholesterol were lower than those of the control group,and the levels of superoxide dismutase and glutathione peroxidase were higher than those of the control group.the maximum peak systolic velocity,end-diastolic velocity and average blood flow velocity of middle cerebral artery were faster than those of control group,and the differences between the groups were statistically significant(P﹤0.05);the occurrence of adverse reactions in two groups,and the difference was no statistically significant(P﹥0.05).Conclusion Butylphthalein softgel combined with atorvastatin can improve the therapeutic effect of acute cerebral infarction,correct the abnormal lipid metabolism of patients,improve the brain hemodynamics indicators,inhibit the oxidative stress reaction,reduce the damage of nerve function,and is safe and reliable.

Acute cerebral infarctionButylphthalein softgelAtorvastatinOxidative stressHemodynamicsAdverse reaction

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东昌府人民医院神经内科,山东 聊城 252000

急性脑梗死 丁苯酞软胶囊 阿托伐他汀 氧化应激 血流动力学 不良反应

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(19)