首页|丁苯酞氯化钠对急性脑梗死患者NIHSS、ADL评分的影响

丁苯酞氯化钠对急性脑梗死患者NIHSS、ADL评分的影响

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目的 探究丁苯酞氯化钠治疗急性脑梗死患者的临床效果。方法 择取 2022 年 10 月至 2023 年 10 月收治的 82 例急性脑梗死患者作为研究对象,采用病历号信封随机抽签法将其分为对照组(n=41)和研究组(n=41)。对照组采用静脉溶栓联合对症基础治疗,研究组在对照组治疗方案基础上增加丁苯酞氯化钠治疗。比较两组的神经功能、日常生活能力、血液流变学指标、细胞因子及炎性因子水平。结果 治疗后,研究组的美国国立卫生研究院卒中量表(NIHSS)评分低于对照组,日常生活能力量表(ADL)评分高于对照组(P<0。05)。治疗后,研究组的红细胞聚集指数、全血黏度及血浆黏度均低于对照组(P<0。05)。治疗后,研究组的内皮素-1(ET-1)、N末端B型脑钠肽前体(NT-proBNP)、神经元特异性烯醇化酶(NSE)及同型半胱氨酸(Hcy)水平均低于对照组(P<0。05)。治疗后,研究组的肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)水平均低于对照组(P<0。05)。结论 丁苯酞氯化钠治疗急性脑梗死患者可减轻神经功能缺损,提高日常生活能力,改善血液流变学指标及细胞因子水平,减轻炎症反应,可全面推广应用。
Effects of butylphthalide sodium chloride on NIHSS and ADL scores in patients with acute cerebral infarction
Objective To explore the clinical effect of butylphthalide sodium chloride in the treatment of patients with acute cerebral infarction.Methods A total of 82 patients with acute cerebral infarction admitted from October 2022 to October 2023 were selected as the study objects,and the patients were divided into control group(n=41)and study group(n=41)by random drawing of medical record number envelope.The control group was treated with intravenous thrombolysis combined with symptomatic basic treatment,and the study group was treated with butylphthalide sodium chloride on the basis of the treatment plan of the control group.The neurological function,daily living ability,hemorheological indexes,cytokines and inflammatory factors levels were compared between the two groups.Results After treatment,the National Institutes of Health Stroke Scale(NIHSS)score of the study group was lower than that of the control group,and the Activities of Daily Living(ADL)score was higher than that of the control group(P<0.05).After treatment,the erythrocyte aggregation index,whole blood viscosity and plasma viscosity in the study group were lower than those in the control group(P<0.05).After treatment,the levels of endothelin-1(ET-1),N-terminal pro-brain natriuretic peptide(NT-proBNP),neuron specific enolase(NSE)and homocysteine(Hcy)in the study group were lower than those in the control group(P<0.05).After treatment,the levels of tumor necrosis factor-α(TNF-α)and C-reactive protein(CRP)in the study group were lower than those in the control group(P<0.05).Conclusion Butylphthalide sodium chloride in the treatment of patients with acute cerebral infarction can reduce neurological deficits,improve daily living ability,improve hemorheological indexes and cytokine levels,and reduce inflammatory response,which can be widely promoted and applied.

butylphthalide sodium chlorideacute cerebral infarctionNIHSS scoreADL scorehemorheology

张艳霞

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河南省民权县中医院脑血管科,河南 商丘,476800

丁苯酞氯化钠 急性脑梗死 NIHSS评分 ADL评分 血液流变学

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(9)
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