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阿加曲班治疗后循环缺血性脑卒中的有效性及安全性观察

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目的:分析阿加曲班治疗后循环缺血性脑卒中的效果及安全性.方法:纳入2020年1月至2022年12月收治的后循环缺血性脑卒中患者120例,以随机数字表法分为对照组(60例,采取常规治疗)和研究组(60例,在常规治疗的基础上加用阿加曲班治疗),对比两组的治疗效果及不良反应发生率.结果:研究组治疗总有效率明显高于对照组(P<0.05).两组不良反应发生率间差异无统计学意义(P>0.05).治疗2周后,研究组美国国立卫生研究院卒中量表(NIHSS)评分明心低于对照组,基线后循环Alberta卒中项目早期CT评分(pc-ASPECTS评分)明显高于对照组(P<0.05).治疗2周后,研究组凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)均明显长于对照组(P<0.05),血清多胺氧化酶(PAO)、S100-β蛋白水平均明显低于对照组(P<0.05).结论:阿加曲班治疗后循环缺血性脑卒中的有效性和安全性均较高.
Efficacy and safety of Agatroban in the treatment of post-circulation ischemic stroke
Objective:To analyze the efficacy and safety of Agatroban in the treatment of post-circulation ischemic stroke.Methods:A total of 120 patients with posterior circulation ischemic stroke admitted to our hospital from January 2020 to December 2022 were included and divided into control group(60 cases,receiving conventional treatment)and study group(60 cases,receiving conventional treatment combined with Argatroban)by random number table method.The therapeutic effects and incidence of adverse reactions of the two groups were compared.Results:The total effective rate of the study group was higher than that of the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).After 2 weeks of treatment,compared with the control group,the National Institutes of Health Stroke Scale(NIHSS)score of the study group was significantly lower,while its baseline posterior circulation Alberta stroke project early CT score(pc-ASPECTS score)was significantly higher(P<0.05).The prothrombin time(PT)and activated partial thromboplastin time(APTT)of the study group were significantly longer(P<0.05),while its levels of serum polyamine oxidase(PAO)and S100-β protein were significantly lower(P<0.05).Conclusion:Agatroban has high efficacy and safety in the treatment of post-circulation ischemic stroke.

AgatrobanPosterior circulation ischemic strokeAdverse reaction

程树杰、黄俊炼、黄坊、洪晓玲

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揭阳市榕城区人民医院内科,广东 揭阳 522000

阿加曲班 后循环缺血性脑卒中 不良反应

2024

延边大学医学学报
延边大学

延边大学医学学报

影响因子:0.308
ISSN:1000-1824
年,卷(期):2024.47(4)