首页|依达拉奉右莰醇联合阿托伐他汀治疗脑梗死的效果

依达拉奉右莰醇联合阿托伐他汀治疗脑梗死的效果

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目的:研究依达拉奉右莰醇(ED)联合阿托伐他汀(Ator)对脑梗死(CI)患者神经功能及凝血四项指标变化的影响.方法:收集 2020 年 4 月—2022 年 9 月我院 102 例CI患者临床资料,采用随机数字表法分为B组、A组,每组51例.B组采用Ator治疗,A组采用ED联合Ator治疗.比较两组临床疗效、美国国立卫生研究所脑卒中评分量表(NIHSS)、Barthel指数(Barthel Index,BI)评分、凝血四项指标[凝血酶时间(TT)、活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、纤维蛋白原(FIB)]、血管内皮功能指标[一氧化氮(NO)、内皮素-1(ET-1)]、血清神经元特异性烯醇化酶(NSE)、中枢神经特异性蛋白(S100β)水平.结果:治疗 2 周后,A组临床总有效率高于B组((P<0.05);A组NIHSS评分低于B组,BI评分高于B组(P<0.05);A组PT、APTT、TT值高于B组,FIB水平低于A组(P<0.05);A组ET-1 水平低于B组,NO水平高于B组(P<0.05);A组血清NSE、S100β水平低于B组(P<0.05).结论:ED辅助治疗CI患者疗效显著,可有效改善神经功能受损程度及日常生活能力,调节凝血功能及血管内皮功能,促进病情恢复.
Effect of Edaravone Dextrorphan Combined with Atorvastatin on Cerebral Infarction
Objective:To study the effect of edaravone dextrose(ED)combined with atorvastatin(Ator)on the changes of neurological function and four coagulation indexes in patients with cerebral infarction(CI).Methods:The clinical data of 102 patients with CI in our hospital from April 2020 to September 2022 were collected and randomly divided into group B and group A,with 51 cases in each group.Group B was treated with Ator,and group A was treated with ED combined with Ator.The clinical efficacy,National Institutes of Health Stroke Scale(NIHSS),Barthel Index(BI)score,four coagulation indexes[thrombin time(TT),activated partial thromboplastin time(APTT),prothrombin time(PT),fibrinogen(FIB)],vascular endothelial function indexes[nitric oxide(NO),endothelin-1(ET-1)],serum neuron-specific enolase(NSE),central nervous specific protein(S100β)levels were compared between the two groups.Results:After 2 weeks of treatment,the total effective rate of group A was higher than that of group B(P<0.05).The NIHSS score of group A was lower than that of group B,and the BI score was higher than that of group B(P<0.05).PT,APTT and TT values in group A were higher than those in group B,and FIB level was lower than that in group A(P<0.05).The level of ET-1 in group A was lower than that in group B,and the level of NO was higher than that in group B(P<0.05).The levels of serum NSE and S100β in group A were lower than those in group B(P<0.05).Conclusion:ED adjuvant therapy has a significant effect on CI patients,which can effectively improve the degree of neurological impairment and daily living ability,regulate coagulation function and vascular endothelial function,and promote the recovery of the disease.

Edaravone dexamphetamineAtorvastatincerebral infarctionS100βNSE

田飞、戴红波、王利

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济宁市兖州区人民医院,山东 济宁 272100

依达拉奉右莰醇 阿托伐他汀 脑梗死 S100β NSE

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(4)
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