神经节苷脂治疗大面积脑梗塞临床效果研究.docVIP

神经节苷脂治疗大面积脑梗塞临床效果研究 　　[摘要] 目的 对大面积脑梗塞患者治疗中实施神经节苷脂方案的效果进行分析。方法 研究从2013年10月―2015年10月间进入上海市徐汇区中心医院的大面积脑梗塞患者中，方便选择60例研究，以随机法对其分组：常规组30例实施常规方案，治疗组30例则加以实施神经节苷脂方案，对其疗效、NIHSS分数以及ADL分数等评定。结果 研究对两组患者进行治疗后，常规组30例的有效率66.67%（20/30），治疗组30例93.33%（28/30），两组比较，差异有统计学意义（P0.05）；治疗后常规组NIHSS分数（16.43±1.09）分，治疗组（12.96±2.34）分，两组比较，差异有统计学意义（P0.05）；常规组ADL分数（63.56±2.41）分，治疗组（80.93±2.41）分，两组比较，差异有统计学意义（P0.05）。结论 对于出现大面积脑梗塞的患者，实施常规方案治疗的同时，以神经节苷脂方案对其治疗效果显著，不仅可提升疗效，还能改善其NIHSS分数以及ADL分数，价值显著，可推广。 　　[关键词] 常规方案；神经节苷脂方案；临床效果；大面积脑梗塞；NIHSS分数 　　[中图分类号] R81 [文献标识码] A [文章编号] 1674-0742（2017）09（b）-0110-03 　　[Abstract] Objective This paper tries to analyze the effect of ganglioside regimen in the treatment of patients suffered from large area cerebral infarction. Methods 60 cases with a large area of cerebral infarction from October 2013 to October 2015 in this hospital were convenient selected and divided into two groups by randomized grouping method： 30 patients in the conventional group were treated with conventional regimen， while 30 patients in the treatment group were treated the ganglioside program. And then the efficacy， NIHSS scores and ADL scores were assessed. Results After treatment， the effective rate was 66.67% （20/30） in the conventional group and 93.33%（28/30） in the treatment group and the difference was significant and the difference was statistically significant（P0.05）； the NIHSS score in the conventional group was（16.43±1.09） points， the treatment group of （12.96±2.34） points， the difference was significant（P0.05）； ADL score in the conventional group was （63.56±2.41） points， the treatment group of （80.93±2.41） points， the difference was significant（P0.05）. Conclusion For patients with large area of cerebral infarction， the treatment effect of the implementation of conventional program therapy combined with ganglioside program is remarkable， not only can improve the efficacy， but also improve its NIHSS scores and ADL scores， with significant value， so it is worth promotion. 　　[Key wo