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神经生长因子联合奥拉西坦治疗高血压性脑出血

Nerve growth factor in combination with Oxiracetam in the treatment of Hypertensive Cerebral Hemorrhage.

作者信息

Sun Yuzhen, Xu Baoquan, Zhang Qiang

机构信息

Yuzhen Sun, Department of Neurosurgery, Binzhou People's Hospital, Shandong, 256600, China.

Baoquan Xu, Department of Neurosurgery, Binzhou People's Hospital, Shandong, 256600, China.

出版信息

Pak J Med Sci. 2018 Jan-Feb;34(1):73-77. doi: 10.12669/pjms.341.13395.

Abstract

OBJECTIVE

To compare the clinical efficacy of nerve growth factor (NGF) in combination with oxiracetam and single use of oxiracetam in the treatment of hypertensive cerebral hemorrhage.

METHODS

One hundred and forty patients with hypertensive cerebral hemorrhage who were admitted to the hospital from July 2015 to September 2016 were selected as research subjects and randomly divided into a treatment group which was treated by NGF in combination with oxiracetam and a control group which was treated by oxiracetam only. The clinical efficacy was observed, and the death of both groups was recorded.

RESULTS

The National Institutes of Health Stroke Scale (NIHSS) score, Glasgow Coma Scale (GCS) score and limbs muscle force of both groups improved after treatment, and the improvement of the treatment was superior to that of the control group, suggesting a significant difference (P<0.05). The reduction of serum inflammatory factor level of the treatment group was much larger than that of the control group after treatment, and the difference had statistical significance (P<0.05). The survival analysis suggested that the survival rates of the two groups had a statistically significant difference (P<0.05).

CONCLUSION

NGF in combination with oxiracetam is significantly effective in treating hypertensive cerebral hemorrhage as it can apparently recover neurologic impairment and limbs muscle force. The therapy has important clinical application values.

摘要

目的

比较神经生长因子(NGF)联合奥拉西坦与单用奥拉西坦治疗高血压性脑出血的临床疗效。

方法

选取2015年7月至2016年9月收治的140例高血压性脑出血患者作为研究对象,随机分为NGF联合奥拉西坦治疗的治疗组和单用奥拉西坦治疗的对照组。观察临床疗效,记录两组患者的死亡情况。

结果

治疗后两组患者美国国立卫生研究院卒中量表(NIHSS)评分、格拉斯哥昏迷量表(GCS)评分及肢体肌力均有改善,且治疗组改善情况优于对照组,差异有统计学意义(P<0.05)。治疗后治疗组血清炎症因子水平下降幅度明显大于对照组,差异有统计学意义(P<0.05)。生存分析显示两组生存率差异有统计学意义(P<0.05)。

结论

NGF联合奥拉西坦治疗高血压性脑出血疗效显著,能明显恢复神经功能缺损及肢体肌力,具有重要的临床应用价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52b1/5857033/afa70ad86a89/PJMS-34-73-g001.jpg

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