首页|醒脑治瘫胶囊联合替罗非班治疗急性进展性缺血性脑卒中的临床观察

醒脑治瘫胶囊联合替罗非班治疗急性进展性缺血性脑卒中的临床观察

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目的 观察醒脑治瘫胶囊联合替罗非班在进展性缺血性脑卒中(风痰阻络证)治疗中的应用价值及对中性粒细胞/淋巴细胞比值(NLR)、血小板/淋巴细胞比值(PLR)、D-二聚体/纤维蛋白原比值(DFR)的影响.方法 随机将90例急性进展性缺血性脑卒中(风痰阻络型)患者分为醒脑治瘫胶囊联合替罗非班西药治疗的观察组和接受替罗非班西药治疗的对照组.对比两组神经功能缺损程度评分、中医证候积分、NLR、PLR、DFR的变化情况.结果 治疗2周后,观察组与对照组相比,美国国立卫生院卒中量表(NIHSS)评分、改良Rankin量表(mRS)评分、中医证候积分明显降低,日常生活能力量表(ADL)评分明显升高(P<0.05).治疗2周后,与对照组相比,观察组NLR、PLR、DFR水平明显降低(P<0.05).观察组的总有效率为77.50%,高于对照组的53.66%(P<0.05).结论 醒脑治瘫胶囊联合替罗非班可以降低进展性缺血性脑卒中(风痰阻络证)患者的神经功能缺损,提高生活自理能力,降低患者的NLR、PLR和DFR水平.
Clinical Observation of Xingnao Zhitan Capsules Combined with Tirofiban in the Treatment of Acute Progressive Ischemic Stroke
Objective:To observe the application value of Xingnao Zhitan capsules combined with Tirofiban in progressive ischemic stroke(pattern of wind-phlegm obstructing collateral)and the effects on neutrophil/lympho-cyte ratio(NLR),platelet/lymphocyte ratio(PLR)and D-dimer/fibrinogen ratio(DFR).Methods:A total of 90 patients with acute progressive ischemic stroke(pattern of wind-phlegm obstructing collateral)were randomly di-vided into an observation group treated with Xingnao Zhitan capsules combined with Tirofibanzi and a control group treated with Tirofibanzi.The neurological deficit score,clinical symptoms,NLR,PLR and DFR were com-pared between the two groups.Results:After 2 weeks of treatment,the NIHSS score,MRS Score and TCM syn-drome score in the observation group were significantly decreased compared with those in the control group,and the ADL score was significantly increased(P<0.05).After 2 weeks of treatment,the NLR,PLR and DFR scores in the observation group were significantly lower than those in the control group(P<0.05).The total efective rate of the observation group was 77.50%,which was higher than 53.66%,in the control group(P<0.05).Conclusion:In the treatment of acute progressive ischemic stroke(pattern of wind-phlegm obstructing collateral),Xingnao Zhi-tan capsules with Tirofiban can effectively improve the patients'neurological function defect,increase their living ability and self-care ability,and reduce the levels of NLR,PLR and DFR.

Ischemic strokeXingnao Zhitan capsulesNeutrophil/lymphocyte ratioPlatelet/lymphocyte ratioD-dimer/fibrinogen ratio

黎黎、曲玉强、吴洪雷、杨雄杰

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安徽省芜湖市中医医院,安徽芜湖 241002

缺血性脑卒中 醒脑治瘫胶囊 中性粒细胞/淋巴细胞比值 血小板/淋巴细胞比值 D-二聚体/纤维蛋白原比值

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(12)