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依达拉奉右莰醇联合替罗非班治疗急性脑梗死的临床研究

Clinical study of Edaravone Dexborneol combined with Tirofiban in treatment of Acute Cerebral Infarction.

作者信息

Mi Yuxia, Hou Zhigang, Liu Jiaqi, Zhang Caixia

机构信息

Yuxia Mi, Department of Neurology, Cangzhou People's Hospital, Cangzhou 061000, Hebei, P.R. China.

Zhigang Hou, Department of Neurology, Cangzhou People's Hospital, Cangzhou 061000, Hebei, P.R. China.

出版信息

Pak J Med Sci. 2024 Jan-Feb;40(1Part-I):190-194. doi: 10.12669/pjms.40.1.7630.

Abstract

OBJECTIVE

To explore the clinical efficacy and safety of edaravone dexborneol combined with tirofiban in the treatment of acute cerebral infarction.

METHODS

This is a retrospective study. A total of 80 patients with acute cerebral infarction (ACI) treated in Cangzhou People's Hospital from March 2018 to December 2021 were selected, and randomly divided into the routine group(n=40) and intervention group(n=40) according to the principle of random draw. Neurological deficits in the two groups were evaluated and compared before and after treatment using the National Institutes of Health Stroke Scale (NIHSS). The quality of life of the patients was evaluated by the modified Rankin Scale (mRS).

RESULTS

Before treatment, NIHSS and mRS scores of the two groups were not statistically significant(0.05); the levels of Vmin and Qmin in the two groups showed no statistical significance(0.05); no statistical significance was found in CRP or IL-6 levels between the two groups(0.05). After treatment for 14 days, the NIHSS and mRS scores of the two groups both decreased, which was more significant in the intervention group(0.05); Vmin and Qmin levels increased in both groups, which was more obvious in the intervention group(0.05); CRP and IL-6 levels reduced in both groups, which was more remarkable in the intervention group(0.05). The incidences of relevant adverse drug reactions presented no differences between the two groups during treatment(0.05).

CONCLUSION

Edaravone dexborneol combined with tirofiban in the treatment of ACI can effectively improve patients' neurological deficits, quality of life and cerebral blood flow, and reduce inflammatory factor levels, have significant clinical efficacy and high clinical treatment safety.

摘要

目的

探讨依达拉奉右莰醇联合替罗非班治疗急性脑梗死的临床疗效及安全性。

方法

本研究为回顾性研究。选取2018年3月至2021年12月在沧州市人民医院治疗的80例急性脑梗死(ACI)患者,按照随机抽签原则将其随机分为常规组(n = 40)和干预组(n = 40)。采用美国国立卫生研究院卒中量表(NIHSS)对两组患者治疗前后的神经功能缺损情况进行评估和比较。采用改良Rankin量表(mRS)评估患者的生活质量。

结果

治疗前,两组患者的NIHSS和mRS评分差异无统计学意义(P>0.05);两组患者的Vmin和Qmin水平差异无统计学意义(P>0.05);两组患者的CRP或IL-6水平差异无统计学意义(P>0.05)。治疗14天后,两组患者的NIHSS和mRS评分均降低,干预组降低更显著(P<0.05);两组患者的Vmin和Qmin水平均升高,干预组升高更明显(P<0.05);两组患者的CRP和IL-6水平均降低,干预组降低更显著(P<0.05)。治疗期间两组患者的相关药物不良反应发生率差异无统计学意义(P>0.05)。

结论

依达拉奉右莰醇联合替罗非班治疗ACI可有效改善患者的神经功能缺损、生活质量及脑血流,降低炎症因子水平,临床疗效显著,临床治疗安全性高。

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