[1]李子杰,马妮娜,柴小奇,等.阿司匹林联合氟桂利嗪对脑梗死患者血液流变学及神经功能的影响分析*[J].陕西医学杂志,2020,49(7):878-880.[doi:DOI:10.3969/j.issn.10007377.2020.07.030]
 LI Zijie,MA Nina,CHAI Xiaoqi,et al.Effect of aspirin combined with flunarizine on hemorheology and neurological function in patients with cerebral infarction[J].,2020,49(7):878-880.[doi:DOI:10.3969/j.issn.10007377.2020.07.030]
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阿司匹林联合氟桂利嗪对脑梗死患者血液流变学及神经功能的影响分析*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年7期
页码:
878-880
栏目:
药物与临床
出版日期:
2020-07-05

文章信息/Info

Title:
Effect of aspirin combined with flunarizine on hemorheology and neurological function in patients with cerebral infarction
作者:
李子杰马妮娜柴小奇罗 超
陕西省汉中市中心医院(汉中 723000)
Author(s):
LI ZijieMA NinaCHAI Xiaoqiet al.
Hanzhong Central Hospital,Shaanxi Province(Hanzhong 723000)
关键词:
阿司匹林 氟桂利嗪 脑梗死 血液流变学 神经功能
Keywords:
Aspirin Flunarizine Cerebral infarction Hemorheology Neurological function
分类号:
R743
DOI:
DOI:10.3969/j.issn.10007377.2020.07.030
文献标志码:
A
摘要:
目的:探究阿司匹林联合氟桂利嗪对脑梗死患者血液流变学及神经功能的影响。方法:选取110例脑梗死患者,随机将其分为两组,其中观察组55例患者应用阿司匹林(100 mg/次,3次/d)联合氟桂利嗪(10 mg/次,3次/d)治疗,对照组55例患者应用阿司匹林单药治疗,对比其治疗前后的美国国立卫生院神经功能缺损评分(NIHSS)评分、血液流变学指标及治疗效果。结果:观察组患者在治疗后的血小板聚集率、全血低切黏度、血液黏度相比于对照组均显著下降,差异具有统计学意义(P<0.05)。治疗后两组患者NIHSS评分均明显下降,且观察组下降幅度更为显著,差异具有统计学意义(P<0.05)。对照组治疗总有效率78.18%(43/55)明显低于观察组总有效率92.72%(51/55),差异有统计学意义(χ2=3.889,P=0.047)。结论:阿司匹林联合氟桂利嗪治疗脑梗死患者能够明显改善患者血液流变学指标,促进神经功能恢复。
Abstract:
Objective:To analyze the effect of aspirin combined with flunarizine on hemorheology and neurological function in patients with cerebral infarction. Methods:110 patients with cerebral infarction were randomly divided into two groups. The observation group(55 patients)was treated with aspirin(100 mg/time,3 times a day)and flunarizine(10 mg/time,1 time a day). The control group(55 patients)was treated with aspirin alone. The NIHSS score,hemorheology indexes and treatment effect before and after the treatment were compared. Results:Compared with the control group,the platelet aggregation rate,whole blood low shear viscosity and blood viscosity in the observation group were decreased significantly(P<0.05). After treatment,the NIHSS scores of the two groups were significantly decreased,and the decrease of the observation group was more significant,the difference was statistically significant(P<0.05). The total effective rate of the control group was 78.18%(43/55),which was significantly lower than that of the observation group [92.72%(51/55)],and the difference was statistically significant(χ2=3.889,P=0.047). Conclusion:Aspirin combined with flunarizine can obviously improve the hemorheology indexes and promote the recovery of neurological function in patients with cerebral infarction.

参考文献/References:

[1] 江思德,唐明山,肖 静,等. 脑梗死急性期治疗临床研究进展[J].医学综述,2016,22(8):1513-1515.
[2] Jeong HY,Chang JY,Yum KS,et al. Extended use of hypothermia in elderly patients with malignant cerebral edema as an alternative to hemicraniectomy[J]. Journal of Stroke,2016,18(3):337-343.
[3] 张 斌,王爱红,林群锋. 奥扎格雷联合阿司匹林治疗进展性脑梗死30例疗效分析[J]. 陕西医学杂志,2013,42(4):493-494.
[4] 高长玉,吴成翰,等.中国脑梗死中西医结合诊治指南(2017)[J].中国中西医结合杂志,2018,38(2):136-144.
[5] 董 恺,张 倩,黄晓钦,等. 培养神经内科医师NIHSS评分量表使用能力的探讨[J]. 医学教育管理,2017,3(1):82-83.
[6] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2014[J]. 中华神经科杂志,2015,48(4):246-257.
[7] Li H,Zhang N,Lin HY,et al. Histological,cellular and behavioral assessments of stroke outcomes afterphotothrombosis-induced ischemia in adult mice[J]. BMC Neuroence,2014,15(1):1-13.
[8] 岳晨艳. 阿司匹林联合丁苯酞软胶囊治疗急性脑梗死的临床效果分析[J]. 中外医疗,2019,38(11):133-135.
[9] 王德龙. M型钾离子通道开放剂对大鼠脑梗死再灌注损伤的脑保护作用[D].唐山:华北理工大学,2018.
[10] 呼格吉乐,丛殿宝,张建辉,等.阿司匹林+氯吡格雷双联抗血小板聚集联合丁苯酞治疗高龄急性大脑中动脉缺血性脑卒中的疗效[J].中国老年学杂志,2019,39(21):5183-5186.
[11] 曾晓华,黄 雯.联合应用氯吡格雷和瑞舒伐他汀治疗脑梗死的疗效及对患者生存质量的影响[J].检验医学与临床,2019,16(21):3209.
[12] 张立红,李 迪,康永琨,等. 低分子肝素联合氟桂利嗪对频发性TIA患者脑梗死的预防效应[J]. 陕西医学杂志,2017,46(6):796-798.
[13] 李小艳.参麦注射液联合盐酸氟桂利嗪治疗脑梗死后血管性痴呆[J].临床医学,2016,36(6):11-13.
[14] 邓君启,王 侠,刘会芳,等.蚓激酶联合氟伐他汀治疗糖尿病合并脑梗死的疗效及对患者神经功能的影响[J].检验医学与临床,2019,16(19):2771-2774.

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备注/Memo

备注/Memo:
*陕西省重点研发计划一般项目-社会发展领域(2018SF-143)
更新日期/Last Update: 2020-07-28