首页|丁苯酞软胶囊联合阿替普酶静脉溶栓治疗急性脑梗死患者的效果

丁苯酞软胶囊联合阿替普酶静脉溶栓治疗急性脑梗死患者的效果

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目的:观察丁苯酞软胶囊联合阿替普酶静脉溶栓治疗急性脑梗死患者的效果.方法:选取 2022 年 1 月至 2023 年 1 月该院收治的 82 例急性脑梗死患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各 41 例.对照组给予阿替普酶静脉溶栓治疗,观察组在对照组基础上口服丁苯酞软胶囊治疗,比较两组治疗前后美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数(BI)评分和血小板指标[血小板反应指数(PRI)、血小板最大聚集率(MPAR)]水平,以及不良反应发生率.结果:治疗后,两组NIHSS评分及PRI、MPAR水平低于治疗前,且观察组低于对照组,两组BI评分高于治疗前,且观察组高于对照组,差异均有统计学意义(P<0.05);治疗期间,两组均未出现明显不良反应.结论:丁苯酞联合阿替普酶静脉溶栓治疗急性脑梗死可提高BI评分,降低血小板指标水平和NIHSS评分,效果优于单纯阿替普酶静脉溶栓治疗.
Effects of Butylphthalide combined with Alteplase intravenous thrombolysis in treatment of patients with acute cerebral infarction
Objective:To observe effects of Butylphthalide combined with Alteplase intravenous thrombolysis in treatment of patients with acute cerebral infarction.Methods:A prospective study was conducted on 82 patients with acute cerebral infarction admitted to the hospital from January 2022 to January 2023.According to the random number table method,they were divided into observation group and control group,41 cases in each group.The control group was treated with intravenous thrombolysis with Alteplase,while the observation group was treated with oral Butylphthalide soft capsules on the basis of that of the control group.The National Institutes of Health stroke scale(NIHSS)score,the Barthel index(BI)score were compared between the two groups.Results:After the treatment,the NIHSS score and PRI and MPAR in the two groups were lower than those before the treatment,and those in the observation group were lower than those in the control group;the BI scores in the two groups were higher than those before the treatment,and the those in observation group were higher than those in the control group;and the differences were statistically significant(P<0.05).During the treatment,there were no obvious adverse reactions in the two groups.Conclusions:Butylphthalide combined with Alteplase intravenous thrombolysis in the treatment of acute cerebral infarction can improve the BI scores,and reduce the levels of platelet indexes and the NIHSS scores.Moreover,it is superior to single Alteplase intravenous thrombolysis treatment.

Acute cerebral infarctionButylphthalideAlteplasePlateletNeurological deficit

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南阳市第二人民医院,河南 南阳 473000

急性脑梗死 丁苯酞 阿替普酶 血小板 神经功能缺损

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(6)
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