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依达拉奉注射液治疗急性脑梗死患者的效果

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目的:探讨依达拉奉注射液治疗急性脑梗死患者的效果。方法:选取 2022 年 5 月—2023 年 5 月广州市白云区第二人民医院收治的 94 例急性脑梗死患者作为研究对象,随机分为对照组和研究组,每组各 47 例。对照组行常规治疗,研究组在此基础上应用依达拉奉注射液治疗,对比指标包含内皮素-1 水平、高敏C反应蛋白水平(hs-CRP)、血管内皮细胞生长因子水平(VEGF)、日常生活活动能力、神经功能缺损评分、临床疗效、神经源损伤指标[神经元特异性烯醇化酶(NSE)、五聚素 3(PTX3)、胰岛素样生长因子-1(IGF-1)、脂蛋白相关磷脂酶A2(Lp-PLA2)]。结果:治疗后和对照组比,研究组内皮素-1、hs-CRP水平以及NIHSS评分更低,VEGF水平、Barthel指数更高,差异有统计学意义(P<0。05);研究组治疗优良率明显比对照组高,差异有统计学意义(P<0。05));研究组治疗后NSE、PTX3、Lp-PLA均比对照组低,IGF-1 比对照组高,差异有统计学意义(P<0。05)。结论:急性脑梗死患者应用依达拉奉注射液治疗不仅可以改善机体中的神经源损伤指标、炎症因子指标以及神经功能缺损情况,同时可以提高患者临床疗效、生活活动能力,具有较高的应用价值。
Effect of Edaravone Injection on Patients with Acute Cerebral Infarction
Objective:To investigate the effect of edaravone injection in the treatment of acute cerebral infarction.Method:94 patients with acute cerebral infarction admittted to the Second People's Hospital from May 2022 to May 2023 were selected as the study objects and randomly divided into a control group and a study groups,with 47 cases in each group.The control group received routine treatment,and the study group received edaravone injection on the basis of this.The comparison indexes included endothelin-1 level,high sensitive C-reactive protein(hs-CRP)level,vascular endothelial growth factor(VEGF)level,activity of daily living,neurological function deficit score,clinical efficacy,neurogenic injury index[neuron-specific enolase(NSE),pentagliner3(PTX3),insulin-like growth factor-1(IGF-1)),lipoprotein-associated phospholipase A2(Lp-PLA2)].Result:After treatment,the levels of endothelin-1,hs-CRP and NIHSS score in the study group were lower than those in the control group,and the levels of VEGF and Barthel index were higher,with statistical significance(P<0.05).The excellent and good rate of treatment in the study group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).After treatment,NSE,PTX3 and Lp-PLA in the study group were lower than those in the control group,and IGF-1 was higher than that in the control group,with statistical significance(P<0.05).Conclusion:The application of Edaravone injection in the treatment of acute cerebral infarction patients can not only improve the indexes of neurogenic injury,inflammatory factors and neurological function deficits in the body,but also improve the clinical efficacy and the improvement of life activities of patients,which has a high application value.

Edaravone injectionAcute cerebral infarctionNeurological impairmentQuality of lifeEndothelin-1Clinical effect

陈汉斌、欧阳登

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广州市白云区第二人民医院 广东 广州 510000

依达拉奉注射液 急性脑梗死 神经功能缺损 生活质量 内皮素-1 临床疗效

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(21)