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丁苯酞注射液对急性缺血性脑卒中患者神经功能及认知的影响

赵琰 李华 王景涛

中国实用神经疾病杂志2018,Vol.21Issue(24):2708-2713,6.
中国实用神经疾病杂志2018,Vol.21Issue(24):2708-2713,6.DOI:10.12083/SYSJ.2018.24.565

丁苯酞注射液对急性缺血性脑卒中患者神经功能及认知的影响

Effect of butylphthalide injection on the nerve function and cognition of acute ischemic stroke patients

赵琰 1李华 2王景涛3

作者信息

  • 1. 郑州市紧急医疗救援中心急救管理科,河南 郑州 450047
  • 2. 河南省中医院急诊科,河南 郑州 450002
  • 3. 郑州大学第一附属医院神经内科,河南 郑州 450052
  • 折叠

摘要

Abstract

Objective To explore the effect of butylphthalide injection on the nerve function and cognition of acute ischemic stroke patients.Methods 106 cases acute ischemic stroke patients treated in First Aid Network Hospital of Zhengzhou City from Feb.2016 to Nov.2017 were selected and divided into control group and study group according to admission order, 53 cases were for each group.Patients in control group were treated with conventional antithromboembolism and other symptomatic support treatments, patients in study group were treated with butylphthalide injection on the basis of control group, and were treated for 2 weeks continuously and followed-up until 3-month after treatment.The improvement of nerve function and cognition in 2 groups were detected and compared.Results he total effective rate of nerve function improvement in study group was 86.79%, which was higher than that 67.92% in the control group (χ2=5.386, P=0.020);compared with before treatment, the NIHSS scores from 3-day to 3-month after treatment in 2 groups decreased gradually, the MMSE scores and MoCA scores in 2 groups increased gradually (P<0.01), and the NIHSS scores in study were lower than those in control group 1-month, 3-month after treatment (P<0.05), the MMSE scores in study group were higher than those in control group 3-day, 7-day, 1-month and 3-month after treatment (P<0.05 or P<0.01);the MoCA scores in study group were higher than those in control group 7-day, 1-month and 3-month after treatment (P<0.05 or P<0.01).There was no severe adverse reactions occurred during the treatment in 2 groups.Conclusion Butylphthalide injection can improve the nerve function and cognition function of acute ischemic stroke patients effectively, and which has good security.

关键词

急性缺血性脑卒中/急性脑梗死/丁苯酞注射液/神经功能/认知

Key words

Acute ischemic stroke/Acute cerebral infarction/Butyl phthalate injection/Nerve function/Cognition

分类

医药卫生

引用本文复制引用

赵琰,李华,王景涛..丁苯酞注射液对急性缺血性脑卒中患者神经功能及认知的影响[J].中国实用神经疾病杂志,2018,21(24):2708-2713,6.

基金项目

河南省中医药科学研究专项(编号:2017ZY2134) (编号:2017ZY2134)

中国实用神经疾病杂志

1673-5110

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