首页|胞磷胆碱联合瑞舒伐他汀对急性脑梗死患者的临床治疗效果

胞磷胆碱联合瑞舒伐他汀对急性脑梗死患者的临床治疗效果

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目的:探讨胞磷胆碱联合瑞舒伐他汀治疗急性脑梗死患者的效果。方法:选取 2021 年 3 月—2023 年 3 月南京鼓楼医院集团宿迁医院神经内科收治的 109 例急性脑梗死患者,按照不同的治疗方式分为研究组(55 例)和对照组(54 例)。其中研究组有 4 例、对照组有 3 例患者因研究过程中病情突然恶化、死亡、主动要求退出导致临床资料不完整,最终研究组和对照组各有 51 例患者纳入最后研究。对照组应用瑞舒伐他汀治疗,研究组应用胞磷胆碱联合瑞舒伐他汀治疗。观察比较两组临床治疗效果、脑血管相关指标、神经功能相关指标及不良反应发生率。结果:研究组治疗总有效率为 90。20%,高于对照组的 70。59%,差异有统计学意义(P<0。05)。治疗后,两组脑血管血流速度、脑血管血流量、脑容量均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0。05)。治疗后,两组神经生长因子(NGF)、神经元特异性烯醇化酶(NSE)水平均低于治疗前,脑源性神经营养因子(BDNF)水平高于治疗前,且研究组NSE、NGF水平低于对照组,BDNF水平高于对照组,差异有统计学意义(P<0。05)。研究组不良反应发生率为 15。69%,高于对照组的 11。76%,但两组间比较,差异无统计学意义(P>0。05)。结论:胞磷胆碱联合瑞舒伐他汀治疗急性脑梗死患者效果显著,能够有效恢复患者脑部血液供应,改善患者神经功能,安全可行。
Clinical Efficacy of Citicoline Sodium Combined with Rosuvastatin in Patients with Acute Cerebral Infarction
Objective:To investigate the effect of Citicoline Sodium combined with Rosuvastatin in patients with acute cerebral infarction.Method:A total of 109 patients with acute cerebral infarction admitted to the Neurology Department of Nanjing Drum Tower Hospital Group Suqian Hospital from March 2021 to March 2023 were selected,and they were divided into study group(55 cases)and control group(54 cases)according to different treatment methods.Among them,4 patients in the study group and 3 patients in the control group had incomplete clinical data due to sudden deterioration,death,and voluntary withdrawal during the study.Finally,51 patients in the study group and control group were included in the final study.The control group was treated with Rosuvastatin,while the study group was treated with Citicoline Sodium combined with Rosuvastatin.Observed and compared the clinical treatment effects,cerebrovascular related indicators,neurological function related indicators,and incidence of adverse reactions between two groups.Result:The total effective rate of the study group was 90.20%,which was higher than 70.59%of the control group,the difference was statistically significant(P<0.05).After treatment,cerebrovascular blood flow velocity,cerebrovascular blood flow and brain volume in two groups were higher than those before treatment,and which in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).After treatment,the levels of nerve growth factor(NGF)and neuron-specific enolase(NSE)in both groups were lower than those before treatment,and the levels of brain-derived neurotrophic factor(BDNF)was higher than that before treatment,and the levels of NSE and NGF in the study group were lower than those in the control group,and the levels of BDNF was higher than that in the control group,the differences were statistically significant(P<0.05).The incidence of adverse reactions in the study group was 15.69%,which was higher than 11.76%in the control group,but there was no significant difference between the two groups(P>0.05).Conclusion:Citicoline Sodium combined with Rosuvastatin is effective in the treatment of acute cerebral infarction patients,which can effectively restore the blood supply to the brain and improve the neurological function of patients,and is safe and feasible.

Acute cerebral infarctionCiticoline SodiumRosuvastatinCurative effect

杜娟、周晓雨、张淼、张雪玲

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南京鼓楼医院集团宿迁医院 江苏 宿迁 223800

急性脑梗死 胞磷胆碱 瑞舒伐他汀 疗效

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(7)
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