首页|探讨依达拉奉右莰醇联合舒血宁治疗急性脑梗死的临床效果及对患者血清Hcy、CRP水平的影响

探讨依达拉奉右莰醇联合舒血宁治疗急性脑梗死的临床效果及对患者血清Hcy、CRP水平的影响

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目的 探讨依达拉奉右莰醇联合舒血宁治疗急性脑梗死(ACI)的临床效果及对患者血清同型半胱氨酸(Hcy)、C反应蛋白(CRP)水平的影响。方法 70 例ACI患者,采用随机取样法分为基础组及科学组,各 35 例。基础组采用舒血宁治疗,科学组采用依达拉奉右莰醇联合舒血宁治疗。比较两组患者用药前后的凝血功能指标[活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、纤维蛋白原(FIB)]、血清指标(Hcy、CRP)及美国国立卫生研究院卒中量表(NIHSS)评分,临床疗效。结果 用药后,两组患者的APTT、PT长于本组用药前,FIB低于本组用药前,且科学组患者的APTT(37。07±8。12)s、PT(15。16±3。12)s长于基础组的(29。15±6。23)、(12。45±2。14)s,FIB(3。28±0。32)g/L低于基础组的(4。17±0。23)g/L,差异具有统计学意义(P<0。05)。用药后,两组患者的Hcy、CRP均低于本组用药前,且科学组患者的Hcy(12。04±1。23)μmol/L、CRP(0。61±0。25)mg/dl均低于基础组的(15。36±1。42)μmol/L、(0。84±0。57)mg/dl,差异具有统计学意义(P<0。05)。用药后,两组患者的NIHSS评分均低于本组用药前,且科学组患者的NIHSS评分(9。21±3。62)分低于基础组的(13。45±4。17)分,差异具有统计学意义(P<0。05)。科学组患者的总有效率 97。14%高于基础组的 80。00%,差异具有统计学意义(P<0。05)。结论 依达拉奉右莰醇联合舒血宁治疗ACI可减轻患者神经功能缺损并改善凝血功能,提高临床疗效,值得推荐。
Clinical effect of edaravone and dexborneol combined with Shuxuening in the treatment of acute cerebral infarction and its influence on serum Hcy and CRP
Objective To study the effect of edaravone and dexborneol combined with Shuxuening in the treatment of acute cerebral infarction(ACI)and its influence on serum homocysteine(Hcy)and C-reactive protein(CRP).Methods A total of 70 patients with ACI were randomly divided into a basic group and a scientific group by random sampling method,with 35 cases in each group.The basic group was treated with Shuxuening,and the scientific group was treated with edaravone and dexborneol in combination with Shuxuening.Comparison was made on coagulation function indexes[activated partial thromboplastin time(APTT),prothrombin time(PT),fibrinogen(FIB)],serum indexes(Hcy,CRP)and the score of National Institutes of Health Stroke Scale(NIHSS)before and after treatment,and the clinical efficacy.Results After medication,APTT and PT in both groups were longer than that before medication in this group,and FIB was lower than that before medication in this group;APTT of(37.07±8.12)s and PT of(15.16±3.12)s in the scientific group were longer than those of(29.15±6.23)and(12.45±2.14)s in the basic group;FIB of(3.28±0.32)g/L in the scientific group was lower than that of(4.17±0.23)g/L in the basic group;the differences were statistically significant(P<0.05).After treatment,Hcy and CRP in both groups were lower than those before treatment in this group;Hcy of(12.04±1.23)μmol/L and CRP of(0.61±0.25)mg/dl in the scientific group were lower than those of(15.36±1.42)μmol/L and(0.84±0.57)mg/dl in the basic group;the differences were statistically significant(P<0.05).After medication,NIHSS score in the two groups was lower than that before medication in this group,and the NIHSS score of(9.21±3.62)points in the scientific group was lower than that of(13.45±4.17)points in the basic group.The differences were statistically significant(P<0.05).The total effective rate of the scientific group was 97.14%,which was higher than that of 80.00%of the basic group,the difference was statistically significant(P<0.05).Conclusion Edaravone and dexborneol combined with Shuxuening in the treatment of ACI can reduce the neurological defect and improve the coagulation function,and improve the clinical efficacy,which is worth recommending.

Edaravone and dexborneolShuxueningAcute cerebral infarctionClinical effect

张勇、李欢、李越、冯军、孙淼、侯静

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125000 中国人民解放军 92493 部队医院神经内科

依达拉奉右莰醇 舒血宁 急性脑梗死 临床疗效

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(1)
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