首页|血栓通联合阿托伐他汀钙对急性脑梗死患者神经功能及血液流变学的影响

血栓通联合阿托伐他汀钙对急性脑梗死患者神经功能及血液流变学的影响

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目的:探讨血栓通联合阿托伐他汀钙(ATV)对急性脑梗死(ACI)患者的影响。方法:回顾性分析 2020年 1月—2023年 3月东莞三局医院收治的 60例ACI患者的临床资料,按不同治疗方式将其分为对照组及研究组,各 30例。对照组采用ATV治疗,研究组采用血栓通联合ATV治疗。比较两组神经功能、血液流变学指标、血脂指标、中医证候积分及不良反应发生情况。结果:治疗 1个月后,研究组的改良Rankin量表、美国国立卫生院神经功能缺损评分均低于对照组,差异均有统计学意义(P<0。05)。治疗 1个月后,研究组的血浆黏度、全血低切黏度及全血高切黏度均低于对照组,差异均有统计学意义(P<0。05)。治疗 1个月后,研究组的三酰甘油、高密度脂蛋白胆固醇、总胆固醇、低密度脂蛋白胆固醇均低于对照组,差异均有统计学意义(P<0。05)。治疗 1个月后,研究组的耳明目眩、偏身瘫痪、口眼歪斜、舌强语塞评分均低于对照组,差异均有统计学意义(P<0。05)。研究组的不良反应发生率为 20。00%,与对照组的 16。67%相比,差异无统计学意义(P>0。05)。结论:ACI患者采用血栓通联合ATV治疗,可改善神经功能,调节血脂指标及血液流变学水平,减轻耳明目眩、偏身瘫痪等症状,且安全性较高。
Effect of Xueshuantong Combined with Atorvastatin Calcium on Neurological Function and Hemorheology in Patients with Acute Cerebral Infarction
Objective:To investigate the effect of Xueshuantong combined with atorvastatin calcium(ATV)on patients with acute cerebral infarction(ACI).Methods:Clinical data of 60 ACI patients admitted to Dongguan Third Bureau Hospital from January 2020 to March 2023 were retrospectively analyzed,and were divided into a control group and a study group according to different treatment methods,with 30 cases in each group.The control group was treated with ATV,and the study group was treated with Xueshuantong combined with ATV.The neurological function,hemorheology indexes,blood lipid indexes,TCM syndrome scores and occurrence of adverse reactions were compared between the two groups.Results:After 1 month of treatment,the scores of the Modified Rankin Scale and the National Institute of Health Stroke Scale in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After 1 month of treatment,the plasma viscosity,whole blood low tangential viscosity and whole blood high tangential viscosity of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).After 1 month of treatment,the levels of triacylglycerol,high-density lipoprotein cholesterol,total cholesterol and low-density lipoprotein cholesterol in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After 1 month of treatment,the scores of ear brightness,hemiparalysis,mouth and eye skew,tongue strength and speech blockage in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse reactions was 20.00%in the study group,compared with 16.67%in the control group,the difference was not statistically significant(P>0.05).Conclusion:The application of Xueshuantong combined with ATV in the treatment of ACI patients can promote the improvement of neurological deficit,adjust blood lipid index and hemorheology level,reduces symptoms such as earvision hemrparalysis and have high safety.

Acute cerebral infarctionXueshuantongAtorvastatin calciumNeurological functionHemorheologyAdverse reactionsBlood lipid indexTCM syndrome score

邓学五

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广东省东莞三局医院急诊科,广东 东莞 523000

急性脑梗死 血栓通 阿托伐他汀钙 神经功能 血液流变学 不良反应 血脂指标 中医证候积分

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(20)