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丁苯酞联合胞磷胆碱钠治疗急性进展性脑梗死的疗效

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目的 探究丁苯酞联合胞磷胆碱钠治疗急性进展性脑梗死的疗效及对血清氧化应激和炎症因子的影响.方法 回顾性选取绍兴市中心医院2021年1月至2023年2月收治的急性进展性脑梗死患者120例,将研究对象是否使用丁苯酞联合胞磷胆碱钠治疗分为观察组和对照组各60例,对照组采取常规治疗,观察组采取丁苯酞联合胞磷胆碱钠治疗,比较2组患者的疗效、血清丙二醛(MDA)、超氧化物歧化酶(SOD)、血浆髓过氧化物酶(MBP),比较2组患者白细胞介素(IL)-6、C反应蛋白(CRP)、IL-8差异.结果 观察组有效率(92%,55/60)高于对照组(75%,45/60)(P<0.05),干预前2组患者MDA、SOD、MBP比较差异无统计学意义(P>0.05),干预后观察组患者的MDA、MBP低于对照组,SOD高于对照组(P<0.05),干预前2组患者IL-6、CRP、IL-8比较差异无统计学意义(P>0.05),干预后观察组的IL-6、CRP、IL-8低于对照组(P<0.05).结论 丁苯酞联合胞磷胆碱钠治疗急性进展性脑梗死有较好的疗效,对血清氧化应激和炎症因子均有影响,值得在临床推广使用.
Effect of butylphthalein combined with citicoline sodium on acute progressive cerebral infarction
Objective To explore the efficacy of butylphthalide combined with citicoline sodium in the treatment of acute progressive cerebral infarction and the effects on serum oxidative stress and inflammatory fac-tors.Methods A total of 120 patients with acute progressive cerebral infarction admitted to Shaoxing Central Hospital from January 2021 to February 2023 were retrospectively selected.The study subjects were divided into observation group and control group(60 cases in each group)according to whether they were treated with butylphthalide combined with citicoline sodium.The control group received conventional treatment,and the obser-vation group was treated with butylphthalide combined with citicoline sodium.The therapeutic efficacy of the pa-tients in the two groups were compared,as well as the values of serum malondialdehyde(MDA),oxide dismutase(SOD),plasma myeloperoxidase(MBP),interleukin-6(IL-6),C-reactive protein(CRP)and interleukin-8(IL-8)be-tween the two groups.Results The effective rate of the observation group(92%,55/60)was significantly higher than that of the control group(75%,45/60)(P<0.05).There was no statistical significance in MDA,SOD and MBP values between the two groups before intervention(P>0.05),After intervention,the MDA and MBP of the observa-tion group were lower than those of the control group,while the SOD of the observation group was higher than that of the control group.There was no statistical significance in the comparison of IL-6,CRP and IL-8 values between the two groups before intervention(P>0.05),and the values of IL-6,CRP and IL-8 in the observation group were significantly lower than those in the control group(P<0.05).Conclusion Butylphthalide combined with citicoline sodium has a good efficacy in the treatment of acute progressive cerebral infarction,with good effects on serum ox-idative stress and inflammatory factors.It is worthy of further use in the clinic.

Brain infarctionButylphthaleinCiticoline sodiumMalondialdehydeSuperoxide dismu-taseInterleukin-8

章依峰、刘振东、陶培淦

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绍兴市中心医院全科,浙江绍兴 312030

脑梗死 丁苯酞 胞磷胆碱钠 丙二醛 超氧化物歧化酶 白细胞介素-8

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(4)
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