首页|醒脑静联合丁苯酞治疗急性脑梗死的疗效观察及对血液流变学、外周血IL-23、MIP-1α水平的影响

醒脑静联合丁苯酞治疗急性脑梗死的疗效观察及对血液流变学、外周血IL-23、MIP-1α水平的影响

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目的:研究醒脑静注射液联合丁苯酞软胶囊治疗急性脑梗死(ACI)的疗效,以及对血液流变学、外周血白细胞介素-23(IL-23)、巨噬细胞炎性蛋白-1 α(MIP-1 α)水平的影响.方法:按随机数字表法将2018年7月-2022年7月河南科技大学第一附属医院诊治的ACI患者106例分为2组,各53例.对照组口服丁苯酞软胶囊,观察组采用丁苯酞软胶囊联合醒脑静注射液治疗.比较2组治疗后的临床疗效、治疗前后美国国立卫生研究院卒中量表(NIHSS)评分、血液流变学指标、外周血IL-23和MIP-1 α水平等.结果:治疗后,观察组总有效率为94.34%,高于对照组的79.25%(P<0.05);2组NIHSS评分均较干预前明显降低,且观察组低于对照组,差异均有统计学意义(P<0.05);2组血浆黏度(PV)、纤维蛋白原(FIB)、血细胞比容(HCT)均较干预前明显降低,且观察组低于对照组,差异均有统计学意义(P<0.05);2组IL-23、MIP-1 α水平均较干预前明显降低,且观察组低于对照组,差异均有统计学意义(P<0.05).结论:醒脑静注射液联合丁苯酞软胶囊对ACI患者有较好疗效,能明显降低NIHSS评分,调节血液流变学指标,降低外周血IL-23、MIP-1 α水平.
Effect of Xingnaojing Injection Combined with Butylphthalide Soft Capsules in Patients with Acute Cerebral Infarction and its Influence on Hemorheological and Peripheral Blood IL-23 and MIP-1α Levels
Objective:To investigate the effect of Xingnaojing Injection combined with Butylphthalide Soft Capsules in patients with acute cerebral infarction(ACI),and its influence on hemorheological and peripheral blood interleukin-23(IL-23)and macrophage inflammatory protein-l alpha(MIP-1 α)levels.Methods:A total of 106 patients with ACI admitted to the first affiliated hospital of henan university of science and technology from July 2018 to July 2022 were selected,and divided into two groups by random number table method,with 53 patients in each group.Patients in the control group took Butylphthalide Soft Capsules orally,and patients in the observation group were treated with Xingnaojing Injection on the basis of the treatment of Butylphthalide Soft Capsules.The two groups were compared in terms of clinical efficacy,the National Institutes of Health Stroke Scale(NIHSS)scores,hemorheological indicators,peripheral blood IL-23 and MIP-1 α levels before and after treatment.Results:After treatment,the total effective rate of the observation group was 94.34%,which was higher than the control group's 79.25%(P<0.05);the NIHSS scores of both groups were significantly lower than before intervention,and the observation group was lower than the control group,with statistical significance(P<0.05);the plasma viscosity(PV),fibrinogen(FIB),and hematocrit(HCT)of the two groups were significantly reduced compared to before intervention,and the observation group was lower than the control group,with statistical significance(P<0.05);the levels of IL-23 and MIP-1 α in both groups were significantly reduced compared to before intervention,and the observation group was lower than the control group,with statistical significance(P<0.05).Conclusion:The combination of Xingnaojing Injection and Butylphthalein Soft Capsule has a good therapeutic effect on ACI patients.It can significantly reduce NIHSS score,regulate hemorheological indicators,and lower peripheral blood IL-23 and MIP-1 α levels.

Acute Cerebral InfarctionXingnaojing InjectionButylphthalein Soft CapsulesHemorheological

徐明昌、刘新生

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河南科技大学第一附属医院 河南洛阳 471000

急性脑梗死 醒脑静注射液 丁苯酞软胶囊 血液流变学

2024

江西中医药大学学报
江西中医学院

江西中医药大学学报

影响因子:0.575
ISSN:2095-7785
年,卷(期):2024.36(4)