首页|丁苯酞序贯治疗症状性颅内动脉重度狭窄脑梗死的不良反应发生情况及临床评价

丁苯酞序贯治疗症状性颅内动脉重度狭窄脑梗死的不良反应发生情况及临床评价

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目的 分析丁苯酞序贯应用于症状性颅内动脉重度狭窄脑梗死患者中的治疗效果.方法 选取2020年1月—2023年10月山东省寿光市人民医院收治的116例症状性颅内动脉重度狭窄脑梗死患者为研究对象,使用双盲法随机分为参考组和观察组,各58例.参考组开展常规治疗,观察组加用丁苯酞序贯治疗,比较两组患者的康复有效率、血管内皮功能、神经功能指标、神经功能缺损评分、不良反应发生率.结果 观察组患者的康复有效率为94.83%,显著高于参考组的82.76%,差异有统计学意义(χ2=4.245,P=0.039).治疗后,观察组的血管内皮功能、神经功能指标、神经功能缺损评分均优于参考组,差异有统计学意义(P均<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 丁苯酞序贯联合常规治疗应用于症状性颅内动脉重度狭窄脑梗死患者的疗效确切,安全性高.
Occurrence of Adverse Reactions and Clinical Evaluation of Sequential Treatment of Symptomatic Intracranial Artery Stenosis with Severe Cere-bral Infarction with Butylphthalein
Objective To analyze the therapeutic effect of sequential application of butylphthalein in patients with symptomatic severe intracranial artery stenosis and cerebral infarction.Methods A total of 116 patients with symptom-atic intracranial artery severe stenosis cerebral infarction admitted to Shouguang People's Hospital of Shandong Prov-ince from January 2020 to October 2023 were selected as the research objects.They were randomly divided into refer-ence group and observation group by double-blind method,with 58 cases in each group.The reference group was treated with routine treatment,and the observation group was treated with butylphthalide sequential therapy.The reha-bilitation efficiency,vascular endothelial function,neurological function index,neurological deficit score and inci-dence of adverse reactions were compared between the two groups.Results The effective rate of rehabilitation in the observation group was 94.83%,which was significantly higher than 82.76%in the reference group,and the difference was statistically significant(χ2=4.245,P=0.039).After treatment,the vascular endothelial function,neurological func-tion index and neurological deficit score of the observation group were better than those of the reference group,and the differences were statistically significant(all P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The sequential treatment of butylphthalein com-bined with conventional treatment in patients with symptomatic severe intracranial artery stenosis and cerebral infarc-tion has a definite effect,the safety is high.

Symptomatic intracranial artery severe stenosis cerebral infarctionButylphthaleinSequential treatmentCurative effectAdverse reaction

王珊、赵小话、郭明涛

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山东省寿光市人民医院神经内科,山东寿光 262700

山东省青州市人民医院医学影像科,山东青州 262500

症状性颅内动脉重度狭窄脑梗死 丁苯酞 序贯治疗 疗效 不良反应

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(10)