首页|替罗非班在急性脑卒中溶栓后再闭塞患者治疗中的应用价值

替罗非班在急性脑卒中溶栓后再闭塞患者治疗中的应用价值

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目的 探讨急性脑卒中溶栓后再闭塞的患者应用替罗非班治疗的应用价值。方法 选取本院收治的106例急性脑卒中溶栓后再闭塞患者纳入研究,时间段为2020年3月~2022年3月。按治疗方法的不同分为两组,每组各53例。给予两组常规基础治疗,同时对照组和观察组分别加用依诺肝素钠注射液和盐酸替罗非班注射液治疗,比较两组疗效、溶栓后24 h凝血功能、美国国立卫生研究院卒中量表(NIHSS)评分和不良事件发生情况。结果 治疗总有效率观察组(96。23%)高于对照组(79。25%),差异有统计学意义(P < 0。05)。溶栓后24 h,两组凝血功能相比,差异无统计学意义(P > 0。05)。溶栓后24 h和溶栓后7 d,观察组的NIHSS评分低于对照组,差异有统计学意义(P < 0。05)。两组不良事件发生情况相比,差异无统计学意义(P > 0。05)。结论 针对急性脑卒中溶栓后再闭塞患者应用替罗非班治疗,可改善患者的神经功能,提高治疗效果,且安全性高。
Clinical value of Tirofiban in the treatment of patients with acute stroke after thrombolytic reocclusion
Objective To investigate the therapeutic value of Tirofiban in patients with acute stroke who were re-blocked after thrombolytic therapy. Methods A total of 106 patients with acute stroke who were treated in our hospital after thrombolytic therapy and re-blocked were enrolled in this study from March 2020 to March 2022. According to the different treatment methods were divided into two groups, each group 53 cases. The two groups were given conventional basic treatment, while the control group and the observation group were given enoxparin sodium injection and Tirofiban hydrochloride injection, respectively. The efficacy, clotting function 24 h after thrombolysis, National Institutes of Health Stroke Scale (NIHSS) score and the incidence of adverse events were compared between the two groups. Results The total effective rate of the observation group (96.23%) was higher than that of the control group (79.25%), and the difference was statistically significant (P<0.05). 24 h after thrombolysis, there was no significant difference in coagulation function between the two groups (P>0.05). The NIHSS score of the observation group was lower than that of the control group at 24 h and 7 d after thrombolysis, and the difference was statistically significant (P<0.05). There was no significant difference in the occurrence of adverse events between the two groups (P>0.05). Conclusion The application of Tirofiban in acute stroke patients with re-occlusion after thrombolytic therapy can improve the neurological function, improve the therapeutic effect, and high safety.

thrombolytic therapyacute strokere-blockTirofibanEnoxaparin sodium

张霞

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河北省青县人民医院神经内一科,河北 沧州 062650

溶栓治疗 急性脑卒中 再次闭塞 替罗非班 依诺肝素钠

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(3)
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