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阿托伐他汀钙治疗急性脑梗死的效果与安全性分析

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目的 评价急性脑梗死(ACI)患者行阿托伐他汀钙治疗的预后效果及药物安全性。方法 选择 106 例ACI患者,以随机法分为对照组(n=53,采取辛伐他汀治疗)和观察组(n=53,采取阿托伐他汀钙片治疗)。比较两组临床疗效、药物不良反应发生情况、神经功能缺损程度以及康复情况。结果 观察组治疗总有效率96。23%高于对照组的81。13%,差异显著(P<0。05)。两组药物不良反应发生率比较,差异无统计学意义(P>0。05)。两组治疗后美国国立卫生研究院卒中量表(NIHSS)评分均较治疗前低,且观察组NIHSS评分(4。55±1。20)分低于对照组的(5。60±1。40)分,差异显著(P<0。05)。两组治疗后氧化型低密度脂蛋白(ox-LDL)、超敏C反应蛋白(hs-CRP)水平均低于治疗前,且观察组治疗后ox-LDL(46。78±4。45)μg/dl、hs-CRP(3。22±1。01)mg/L均低于对照组的(57。32±4。55)μg/dl、(8。72±1。20)mg/L,差异显著(P<0。05)。结论 阿托伐他汀钙片治疗ACI具有安全性、有效性,能促进患者神经功能改善、临床恢复。
Analysis of the effect and safety of atorvastatin calcium in the treatment of acute cerebral infarction
Objective To evaluate the prognostic effect and safety of atorvastatin calcium in the treatment of acute cerebral infarction(ACI).Methods 106 ACI patients were selected and randomly divided into a control group(n=53,treated with simvastatin)and an observation group(n=53,treated with atorvastatin calcium tablets).The clinical efficacy,adverse drug reactions,degree of neurological impairment,and rehabilitation were compared between the two groups.Results The total effective rate of the observation group was 96.23%,which was higher than 81.13%of control group,and the difference was significant(P<0.05).There was no significant difference in the incidence of adverse drug reactions between the two groups(P>0.05).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(4.55±1.20)points in the observation group was lower than(5.60±1.40)points in the control group.The difference was significant(P<0.05).After treatment,the levels of oxidized low-density lipoprotein(ox-LDL)and hypersensitive C-reactive protein(hs-CRP)in both groups were lower than those before treatment;the observation group had ox-LDL of(46.78±4.45)μg/dl and hs-CRP of(3.22±1.01)mg/L,which were lower than(57.32±4.55)μg/dl and(8.72±1.20)mg/L in the control group;the difference was significant(P<0.05).Conclusion Atorvastatin calcium tablets are safe and effective in the treatment of ACI,and can promote the improvement of neurological function and clinical recovery in patients.

Atorvastatin calciumAcute cerebral infarctionNeurological functionAdverse reactionsEffect

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024005 赤峰松山医院神经内科

阿托伐他汀钙片 急性脑梗死 神经功能 不良反应 效果

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(15)