血栓通与神经节苷脂联合治疗急性脑梗死临床分析.docVIP

血栓通与神经节苷脂联合治疗急性脑梗死临床分析 ? 3l92? _一蟠j躁蹄_昆 医堂绽述生旦箍鲞第2O期MedicalRecapitulate,Oct2008.Vo1.14.N0.20 血栓通与神经节苷脂联合治疗急性脑梗死临床分析 左绍祥 (山东省充州市人民医院神经内科,山东充州272100) 中图分类号:R743.33文献标识码:B文章编号:1006.2084(2008)20-3192-03 摘要:目的观察血栓通与神经节苷脂(GM)联合治疗急性脑梗死的效果.方法76例脑梗死 患者随机分为:治疗组和对照组各38例,前者用血栓通和神经节苷脂静脉滴注,对照组用曲克芦丁 和胞磷胆碱治疗,均为15d,观察两组治疗前后神经功能缺损程度评分.结果治疗组显效率 (88.7%)明显高于对照组(68.3%),差异有显着性(Plt;0.叭).治疗组神经功能缺损程度积分较治 疗前显着降低(Plt;0.O1),且其明显明显低于对照组(Plt;0.05).结论血栓通与神经节苷脂联合 治疗急性脑梗死疗效良好. 关键词:血栓通;神经节苷脂;脑梗死;疗效 Clinical0bservationonThrombusClearCombinedwithGangliosideintreatmentofAcuteCerebral InfarctionZUOShao.xiang.(DepartmentofNeFFeInternalMedicine.ShandongYanzhouPeoplesH0sp— ta1.Yanzhou27210HD.China) Abstract:0bjectiveToobservethecurativeeffectsofthrombusclearcombinedwithgangliosideifl treatmentofacutecerebralinfarction.MethodsSeven—sixpatientswithcerebralinfarctionweredivideinto thetreatmentandcontrolgroupwith38patientseach.Thrombusclearandgangliosidewereusedintreatment group,andtroxerutincombinedwithciticolinewereusedincontrolgroup.Bothgroupswereconductedbyin— travenousdripfor15days.ResultsTheobviouseffectiveratewashigherintreatmentgroup(88.7%)than thatincontmlgroup(68.3%)witl1significantdifference(Plt;0.01).Theevaluationscoreofimperfectex. tentofnervefunctionintreatmentgroupaftertreatmentisobviouslylowerthanthatbeforetreatmentfPlt; O.01),whichwaslowcrthanthatincontrolgroupaftertreatment(Plt;0.O5).ConclusionThe山rombus clearcombinedwithgangliosideisgoodintreatmentofacutecerebralinfarction.whichshouldbesuggested inclinicalexperiences. Keywords:Thrombusclear:Ganglioside;Cerebralinfarction:Clinicaleffect 急性脑梗死是老年人的常见病,多发病,常导致 患者遗留不同的肢体运动,语言等障碍.如能对患 者早期采取积极有效的治疗,就能减轻缺血引起的 继发性损伤,对提高肌力,减少致残率,提高患者的 生存质量尤为重要.血栓通注射液能抑制血小板聚 [16] [17] [18 [19] [2O] [2l [22 WoerdemanPA.WillemsPW.NoordmailsHJ,eta1.Theanalysis ofintraoperativeneurosurgicalinstrumentmovementusinganavi- gationlog.file『J].IntJMedRobot,2006,2(2):139-145. BenhammouA.BenbouzidMA,BencheikhR,eta1.Cranio—cervi. calunctionmalformations:ararecauseofbilateralVOCalCOr