首页|盐酸法舒地尔联合低分子肝素钙对缺血性脑卒中患者凝血功能的影响

盐酸法舒地尔联合低分子肝素钙对缺血性脑卒中患者凝血功能的影响

扫码查看
目的 探究盐酸法舒地尔联合低分子肝素钙对缺血性脑卒中患者凝血功能的影响。方法 选择 2018 年7月至2021 年10 月收治的 120 例缺血性脑卒中患者作为研究对象,经随机数字表法将其分为对照组和观察组,各60例。对照组给予低分子肝素钙治疗,观察组在对照组治疗方案基础上联合盐酸法舒地尔治疗。比较两组的治疗效果。结果 治疗后,观察组的D-二聚体(D-D)、纤维蛋白原(FIB)水平低于对照组,凝血酶原时间(PT)、凝血酶时间(TT)长于对照组(P﹤0。05)。治疗后,观察组双侧大脑中动脉(MCA)、大脑前动脉(ACA)、大脑后动脉(PCA)、双侧椎动脉(VA)的平均血流速度高于对照组(P﹤0。05)。治疗后,观察组的美国国立卫生研究院卒中量表(NIHSS)评分低于对照组,改良Barthel指数(MBI)评分高于对照组(P﹤0。05)。结论 盐酸法舒地尔联合低分子肝素钙可改善缺血性脑卒中患者的脑部血流动力学及凝血功能,促进神经功能恢复,有助于提高其日常生活能力。
Effect of fasudil hydrochloride combined with low molecular weight heparin calcium on coagulation function in patients with ischemic stroke
Objective To explore the effect of fasudil hydrochloride combined with low molecular weight heparin calcium on coagulation function in patients with ischemic stroke.Methods A total of 120 patients with ischemic stroke admitted from July 2018 to October 2021 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 60 cases in each group.The control group was treated with low molecular weight heparin calcium,and the observation group was treated with fasudil hydrochloride on the basis of the treatment regimen of the control group.The therapeutic effects of the two groups were compared.Results After treatment,the levels of D-dimer(D-D)and fibrinogen(FIB)were lower than those in the control group,and the prothrombin time(PT)and thrombin time(TT)in the observation group were longer than those in the control group(P<0.05).After treatment,the mean blood flow velocity of bilateral middle cerebral artery(MCA),anterior cerebral artery(ACA),posterior cerebral artery(PCA)and bilateral vertebral artery(VA)in the observation group were higher than those in the control group(P<0.05).After treatment,the National Institutes of Health Stroke Scale(NIHSS)score of the observation group was lower than that of the control group,and the Modified Barthel Index(MBI)score was higher than that of the control group(P<0.05).Conclusion Fasudil hydrochloride combined with low molecular weight heparin calcium can improve cerebral hemodynamics and coagulation function in patients with ischemic stroke,promote the recovery of neurological function,and help to improve their daily living ability.

low molecular weight heparin calciumfasudil hydrochlorideischemic strokecoagulation functionneurological function

王新波、刘晓虎、闫小峰

展开 >

陕西省勉县医院,陕西 汉中,724200

延安大学咸阳医院,陕西 咸阳,712000

低分子肝素钙 盐酸法舒地尔 缺血性脑卒中 凝血功能 神经功能

延安大学咸阳医院2020年度院内科学研究基金

2020ZX035

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(6)
  • 16