首页|醒脑静注射液联合西医综合治疗对高血压脑出血患者炎症因子和Barthel指数的影响

醒脑静注射液联合西医综合治疗对高血压脑出血患者炎症因子和Barthel指数的影响

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目的 探讨醒脑静注射液联合西医综合治疗高血压脑出血患者对炎症因子和Barthel指数的影响。方法 根据患者治疗方案分组,将在2018年1月至2022年1月于新郑天佑中医院就诊的83例高血压脑出血患者分为对照组(41例)和观察组(42例)。入院后2组患者均施以降低颅内压等对症治疗;对照组加用奥拉西坦联合0。9%氯化钠注射液静脉滴注治疗,观察组在对照组基础上加以醒脑静注射液联合5%葡萄糖注射液静脉滴注治疗,2组患者均连续治疗14 d。比较2组临床疗效,治疗前后的血肿情况、水肿体积、血清炎性因子水平、神经功能缺损情况及日常生活能力。结果 观察组治疗效果更佳,总有效率86%(36/42)高于对照组66%(27/41)(P<0。05)。通过治疗2组血肿、水肿体积均有所缩小,观察组的降幅较对照组更大(P<0。05)。治疗后2组血清白细胞介素(IL)-8、IL-1β、肿瘤坏死因子(TNF)-α及核因子(NF)-κB p65水平均降低,观察组较对照组降幅更大(P<0。05)。治疗后2组的临床神经功能缺损程度量表(CNDS)评分与美国国立卫生院卒中量表(NIHSS)评分均有所降低,观察组的降幅较对照组大;2组Barthel指数均较治疗前升高,观察组升幅大于对照组(P<0。05)。结论 醒脑静注射液+西医综合治疗在高血压脑出血中的疗效确切,能有效提高患者的临床疗效,改善血肿情况,缩小水肿体积,调节血清炎性因子水平,降低NF-κBp65水平,改善神经功能缺损情况,提高日常生活能力,利于患者预后。
Effects of awake brain static injection combined with Western medicine comprehensive treatment on in-flammatory factors and Barthel index in patients with hypertensive intracerebral hemorrhage
Objective To investigate the effect of awake brain static injection combined with Western medicine comprehensive treatment on inflammatory factors and Barthel index in patients with hypertensive intrac-erebral hemorrhage.Methods A total of 83 patients with hypertensive intracerebral hemorrhage who visited Xinzheng Tianyou Traditional Chinese Medicine Hospital from January 2018 to January 2022 were included in this study.According to the treatment plan,they were divided into a control group(41 cases)and an observation group(42 cases).After admission,symptomatic treatments such as reducing intracranial pressure were adminis-tered to both groups;The control group was treated with Olaxitam combined with 0.9%sodium chloride solution via intravenous drip,while the observation group was treated with awake brain static injection combined with 5%glucose solution via intravenous drip on the basis of the above.Continuous treatment for 14 days.The clinical ef-ficacy,hematoma situation,edema volume,serum inflammatory factor levels,neurological deficits,and daily living ability of the two groups were compared before and after treatment.Results The treatment effect in the observa-tion group was significantly better than that in the control group,the total effective rates of the two groups were 86%(36/42)and 66%(27/41)(P<0.05).Compared to before treatment,the volumes of hematoma and edema in both groups decreased after treatment,and the reduction in the observation group was greater than that in the control group(P<0.05).After treatment,the levels of serum IL-8,IL-1β,TNF-α,and NF-κBp65 decreased in both groups,with a greater decrease in the observation group compared to the control group(P<0.05).After treatment,both CNDS and NIHSS scores decreased in both groups,with a greater decrease in the observation group compared to the control group.Additionally,the Barthel index increased in both groups compared to before treatment,with a larger increase in the observation group than in the control group(P<0.05).Conclusion The combined treatment of awake brain static injection with Western medicine for hypertensive cerebral hemorrhage is effective,which can effectively enhance the clinical efficacy of patients,improve hematoma conditions,reduce edema volume,regulate serum inflammatory factor levels,and reduce the level of NF-KBp65 improves neurological deficits,enhances daily living abilities,and is beneficial for patient prognosis.

Intracranial hemorrhage,hypertensiveXin Nao Jing Zhu She YeInflammatory factorsNeurologic manifestations

张新才、张申

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新郑天佑中医院外科,河南郑州 451100

颅内出血,高血压性 醒脑静注射液 炎性因子 神经病学表现

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(6)