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替罗非班治疗急性进展性脑梗死患者的安全性分析

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目的 针对急性进展性脑梗死患者,引入替罗非班治疗,评估其实践价值。方法 317 例急性进展性脑梗死患者,经随机数字表法分为观察组(167 例)与对照组(150 例)。观察组应用替罗非班联合常规对症治治疗,对照组应用常规对症治疗。比较两组神经功能改善情况、生活能力改善情况、血小板功能改善情况及不良反应发生情况。结果 治疗后,两组患者美国国立卫生研究院卒中量表(NIHSS)评分均低于治疗前,且观察组患者NIHSS评分(5。42±0。98)分低于对照组的(7。24±1。16)分(P<0。05)。治疗后,两组患者Barthel指数均高于治疗前,且观察组患者Barthel指数(68。82±4。96)分高于对照组的(60。83±4。21)分(P<0。05)。治疗后,观察组患者血小板P-选择素(10。61±1。25)%、血小板聚集率(28。46±2。18)%、血小板粘附率(34。44±3。22)%均低于对照组的(13。02±1。84)%、(32。83±2。56)%、(37。80±3。80)%(P<0。05)。观察组不良反应发生率7。78%(13/167)低于对照组的15。33%(23/150)(χ2=4。4732,P=0。0344<0。05)。结论 将替罗非班治疗应用于急性进展性脑梗死患者中,效果显著,推荐参考使用。
Analysis of safety of tirofiban for patients with acute progressive cerebral infarction
Objective To evaluate the practical value of tirofiban for patients with acute progressive cerebral infarction.Methods 317 patients with acute progressive cerebral infarction were divided into an observation group(167 cases)and a control group(150 cases)by random number table.The observation group was treated with tirofiban and conventional symptomatic treatment,and the control group was treated with conventional symptomatic treatment.The improvement of neurological function,life ability,platelet function and adverse reactions were compared between the two groups.Results After treatment,the National Institutes of Health Stroke Scale(NIHSS)score in both groups was lower than that before treatment,and the NIHSS score of(5.42±0.98)points in the observation group was lower than(7.24±1.16)points in the control group(P<0.05).After treatment,the Barthel index in both groups was higher than that before treatment,and Barthel index of(68.82±4.96)points in the observation group was higher than(60.83±4.21)points in the control group(P<0.05).After treatment,the observation group had platelet P-selectin of(10.61±1.25)%,platelet aggregation rate of(28.46±2.18)%and platelet adhesion rate of(34.44±3.22)%,which were lower than(13.02±1.84)%,(32.83±2.56)%and(37.80±3.80)%in the control group(P<0.05).The incidence of adverse reactions in the observation group was 7.78%(13/167),which was lower than 15.33%(23/150)in the control group(χ2=4.4732,P=0.0344<0.05).Conclusion The treatment of tirofiban in patients with acute progressive cerebral infarction has significant effect,and it is recommended for reference.

TirofibanAcute progressive cerebral infarctionSafety

边慧、牛慧云、刘燕

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014030 国药北方医院

替罗非班 急性进展性脑梗死 安全性

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(7)
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