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蚓激酶胶囊联合普罗布考片治疗脑梗死患者颈动脉不稳定粥样斑块的疗效观察

潘晓峰 邵卫 陈国华 张忠文

中国中西医结合杂志2011,Vol.31Issue(11):1479-1482,4.
中国中西医结合杂志2011,Vol.31Issue(11):1479-1482,4.

蚓激酶胶囊联合普罗布考片治疗脑梗死患者颈动脉不稳定粥样斑块的疗效观察

Efficacy Observation of Combination of Lumbrukinase Capsule and Probucol Tablet in Treating Cerebral Infarction Patients' Unstable Atheromatous Plaque of the Carotid Artery

潘晓峰 1邵卫 1陈国华 1张忠文1

作者信息

  • 1. 武汉市中西医结合医院神经内科,武汉430022
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摘要

Abstract

Objective To observe the effects of combination of Lumbrukinase Capsule (LC) and Probu-col Tablet (PT) in treating cerebral infarction (Cl) patients' unstable atheromatous plaque of the carotid artery. Methods 150 patients were randomly assigned to the PT group and the LC group, 75 cases in each. Patients in the PT group took 0. 5 g PT each time, twice daily. On the basis of PT, patients in the LC group also took 600 thousand U LC, thrice daily. The treatment course was 12 months for all. The serum levels of TC, TG, HDL-C, LDL-C, fibrinogen (FIB), and changes of the carotid atherosclerotic plaque were measured before treatment, 6 and 12 months after treatment. Meanwhile, adverse events were recorded. Results The serum levels of TC, TG, and LDL-C were all lower 6 months after treatment than before treatment in the two groups, showing statistical significance (P<0. 05). The serum level of HDL-C was higher 6 months after treatment than before treatment in the two groups, showing no statistical significance ( P>0. 05). When compared with before treatment in the same group, the serum level of FIB significantly decreased after treatment. Besides, there was statistical difference between the two groups (P<0. 05). There was no statistical difference in the serum levels of blood lipids or FIB between 12-month treatment and 6-month treatment in the same group (P>0. 05). The plaque effective rate in the LC group was superior to that of the PT group, showing statistical significance (P <0. 01). During the treatment period, the occurrence of cerebrovascular event was lower in the LC group than in the PT group (P < 0. 05). Partial patients in the two groups had gastric discomfort. Conclusions The combination of LC and PT could prevent and treat arteriosclerosis, stabilize the plaque, effectively lower the occurrence of ischemic events. Its clinical application did not increase the risk of hemorrhage. It was safe and effective, worthy of spreading. It was necessary to further observe whether combination of LC and PT could increase side effects of the digestive tract.

关键词

蚓激酶胶囊/普罗布考片/颈动脉/不稳定斑块

Key words

Lumbrukinase Capsule/ Probucol Tablet/ carotid artery/ unstable plaque

引用本文复制引用

潘晓峰,邵卫,陈国华,张忠文..蚓激酶胶囊联合普罗布考片治疗脑梗死患者颈动脉不稳定粥样斑块的疗效观察[J].中国中西医结合杂志,2011,31(11):1479-1482,4.

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