中国血液流变学杂志2024,Vol.33Issue(3) :363-366,473.DOI:10.3969/j.issn.1009-881X.2024.03.006

血塞通联合替罗非班治疗对脑梗死临床疗效、炎性因子及血液流变学指标的影响

Effect of Haemosiderin Combined with Tirofiban Therapy on Clinical Efficacy,Inflammatory Factors and Hemorheological Indexes of Cerebral Infarction

李文超 于贺花 朱色营
中国血液流变学杂志2024,Vol.33Issue(3) :363-366,473.DOI:10.3969/j.issn.1009-881X.2024.03.006

血塞通联合替罗非班治疗对脑梗死临床疗效、炎性因子及血液流变学指标的影响

Effect of Haemosiderin Combined with Tirofiban Therapy on Clinical Efficacy,Inflammatory Factors and Hemorheological Indexes of Cerebral Infarction

李文超 1于贺花 2朱色营1
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作者信息

  • 1. 周口市东新医院神经内科,河南 周口 466000
  • 2. 周口市人民医院神经重症,河南 周口 466000
  • 折叠

摘要

目的 探讨血塞通联合替罗非班治疗对脑梗死临床疗效、炎性因子及血液流变学指标的影响.方法 回顾性分析周口市东新医院2021年2月—2024年1月收治的81 例脑梗死患者,按照治疗方案分为对照组(血塞通治疗,n=39)、试验组(血塞通联合替罗非班治疗,n=42).比较两组临床疗效、炎性因子[白介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)]、血液流变学指标[纤维蛋白原(fibrinogen,FIB)、血浆黏度(plasma viscosity,PV)、红细胞聚集指数(red blood cell aggregation index,RAI)]及不良反应发生率.结果 试验组(90.46%)的总有效率显著高于对照组(74.36%)(P<0.05).两组治疗后的IL-6、TNF-α水平均下降,且试验组更低(P<0.05).两组治疗后的FIB、PV、RAI均降低,且试验组更低(P<0.05).试验组的不良反应发生率为14.29%(6/42),对照组的不良反应发生率为10.26%(4/39),两组不良反应发生率比较差异无统计学意义(P>0.05).结论 血塞通联合替罗非班可提高脑梗死患者的临床疗效,改善炎性因子与血液流变学指标水平,且具有一定安全性.

Abstract

Objective To investigate the effects of Haemosiderophon combined with Tirofiban treatment on clinical efficacy,inflammatory factors and hemorheological indexes in cerebral infarction.Methods Clinical data of 81 patients with cerebral infarction admitted to Zhoukou Dongxin Hospital from February 2021 to January 2024 were retrospectively analyzed and divided into the control group(Haemosiderophon treatment,n=39)and the experimental group(Haemosiderophon combined with Tirofiban treatment,n=42)according to the treatment plan.Clinical efficacy,inflammatory factors[interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)],hemorheological indexes[fibrinogen(FIB),plasma viscosity(PV),red blood cell aggregation index(RAI)]and the incidence of adverse reactions were compared between the two groups.Results The total effective rate of the experimental group(90.46%)was significantly higher than that of the control group(74.36%)(P<0.05).The levels of IL-6 and TNF-α decreased in both groups after treatment,and were lower in the experimental group(P<0.05).FIB,PV and RAI were reduced in both groups after treatment and were lower in the experimental group(P<0.05).The incidence of adverse reactions was 14.29%(6/42)in the experimental group and 10.26%(4/39)in the control group,and there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Haemosiderophon combined with Tirofiban improves clinical outcomes,inflammatory factors and hemorheological indexes levels in patients with cerebral infarction,and has a safety profile.

关键词

血塞通/替罗非班/脑梗死/临床疗效/炎性因子/血液流变学指标

Key words

Haemosiderin/Tirofiban/cerebral infarction/clinical efficacy/inflammatory factors/hemorheological index

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出版年

2024
中国血液流变学杂志
中国生物医学工程学会,苏州大学

中国血液流变学杂志

影响因子:0.391
ISSN:1009-881X
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