首页|神经节苷脂联合依达拉奉对老年脑梗死患者血液流变学及神经缺损程度的影响

神经节苷脂联合依达拉奉对老年脑梗死患者血液流变学及神经缺损程度的影响

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目的 探讨神经节苷脂联合依达拉奉对老年脑梗死患者血液流变学及神经缺损程度的影响。方法 选取 2021 年 9 月至 2022 年 9 月收治的 86例老年脑梗死患者为研究对象,根据入院编号的奇偶性将其分为对照组(43例)和观察组(43例)。对照组采用依达拉奉治疗,观察组在对照组基础上加用神经节苷脂治疗。比较两组的治疗效果。结果 观察组的治疗总有效率为 95。35%,高于对照组的81。40%(P<0。05)。治疗后,观察组的1/s、200/s切变率下全血黏度、血浆黏度及纤维蛋白原水平低于对照组(P<0。05)。治疗后,观察组的C-反应蛋白(CRP)、白细胞介素-6(IL-6)水平低于对照组(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,蒙特利尔认知评估量表(MoCA)评分高于对照组(P<0。05)。两组的不良反应总发生率无显著差异(P>0。05)。结论 神经节苷脂联合依达拉奉治疗老年脑梗死患者的效果显著,可改善血液流变学、神经缺损程度及认知功能障碍程度,减轻炎症反应,且安全性较高。
Effects of ganglioside combined with edaravone on hemorheology and nerve defect degree in elderly patients with cerebral infarction
Objective To investigate the effects of ganglioside combined with edaravone on hemorheology and nerve defect degree in elderly patients with cerebral infarction.Methods A total of 86 elderly patients with cerebral infarction admitted from September 2021 to September 2022 were selected as the research objects.According to the parity of admission number,the elderly patients were divided into control group(43 cases)and observation group(43 cases).The control group was treated with edaravone,and the observation group was treated with ganglioside on the basis of the control group.The treatment effects of the two groups were compared.Results The total effective rate of treatment in the observation group was 95.35%,which was higher than 81.40%in the control group(P<0.05).After treatment,the 1/s,200/s whole blood viscosity,plasma viscosity and fibrinogen level in the observation group were lower than those in the control group(P<0.05).After treatment,the levels of C-reactive protein(CRP)and interleukin-6(IL-6)in the observation group were lower than those in the control group(P<0.05).After treatment,the National Institute of Health Stroke Scale(NIHSS)score of the observation group was lower than that of the control group,and the Montreal Cognitive Assessment Scale(MoCA)score was higher than that of the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Ganglioside combined with edaravone is effective in the treatment of elderly patients with cerebral infarction,it can improve hemorheology,nerve defect degree and cognitive dysfunction degree,reduce inflammatory reaction,and has high safety.

gangliosidecerebral infarctionhemorheologynerve defect degree

李存英、张顺军、王丙聚

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西安秦皇医院,陕西 西安,710600

大荔县妇幼保健院,陕西 渭南,715100

延安大学咸阳医院,陕西 咸阳,712000

神经节苷脂 脑梗死 血液流变学 神经缺损程度

陕西省重点研发计划项目

2020SF-150

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(23)