参芎葡萄糖注射液对不同阶段急性缺血性脑卒中患者疗效及安全性的影响
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福建中医药大学附属人民医院

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※基金项目 福建省科技厅社会发展引导性(重点)项目(No.2016Y0048)


Influence of Shenxiong Glucose Injection on integrated benefitsin patients with acute ischemic in different stag
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    摘要:

    目的 研究参芎葡萄糖注射液对不同阶段急性缺血性脑卒中患者疗效及不良事件的差异。方法 将120例中度急性缺血性脑卒中患者随机分为治疗组和对照组,各60例,每组均包含30例急性早期(病程6~72 h)患者和30例急性中期(病程3~7 d)患者。对照组接受常规基础治疗,治疗组在对照组的基础上加用参芎葡萄糖注射液治疗,共治疗2 w。观察两组不同阶段治疗前后的NIHSS评分、mRS评分、颅脑影像学变化,对比其疗效及不良事件发生率。结果 治疗组的急性早期组、急性中期组的总有效率比较无统计学差异(P>0.05),但均显著高于同期对照组(P<0.05);治疗组的急性早期组的不良事件发生率显著高于治疗组的急性中期组及对照组(P<0.05)。结论 对于不同阶段的中度急性缺血性脑卒中患者,参芎葡萄糖注射液均能提高总有效率,但急性早期(6~72 h)比急性中期(3~7 d)开始治疗的不良事件发生率高。

    Abstract:

    Abstract Objective To study the Influence of Shenxiong glucose injection integrated benefitsin patients with acute ischemicin different stag(6-72h,theEarly group, and 72h-7ds,the Late group) . Methods 120 patients with moderate acute ischemic stroke were randomly divided into treatment group and control group. For each group,they were randomly divided again into treatment group and control group for 30 patients per group. The control group received standard basic treatment only, and the treatment group received basic treatment plus Shenxiong glucose injection course. NIHSS scores before and after treatment were observed, combined with mRS scores and brain imaging changes to compare the total effective rate, and the incidence of side effects of treatment compared. Results There was no significant difference in the total effective rate between the early and late treatment groups (P>0.05), but significantly higher than that in the control group (P<0.05). The incidence of side effects in the early treatment group was significantly higher than that in the late treatment group (P<0.01).Conclusion The total effective rate of Shenxiong glucose injection in promoting blood circulation and removing blood stasis could be improved for the two-stage of acute cerebral infarction, but the incidence of side effects of 6-72 h was significantly higher than that of 72 h-7ds group.

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张传玲,陈新,吴晖,朱美,张何源,黄安杰,许亚晔,王芳,肖鹏程,林佳薇.参芎葡萄糖注射液对不同阶段急性缺血性脑卒中患者疗效及安全性的影响[J].,2021,20(2):40-43

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  • 收稿日期:2021-03-11
  • 最后修改日期:2021-04-22
  • 录用日期:2021-04-25
  • 在线发布日期: 2021-07-09
  • 出版日期: 2021-04-25