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丁苯酞、阿托伐他汀联合阿司匹林治疗缺血性脑卒中疗效观察
Observation of Curative Effect of Butylphthalide and Atorvastatin Combined with Aspirin on Cerebral Arterial Thrombosis
  
DOI:
中文关键词:  丁苯酞  阿托伐他汀  阿司匹林  缺血性脑卒中  神经功能  疗效
英文关键词:Butylphthalide  Atorvastatin  Aspirin  Cerebral arterial thrombosis  Neurological function  Curative effect
基金项目:
作者单位
应顺勇 平阳县人民医院神经内科(浙江平阳 325400) 
周旭东 平阳县人民医院神经内科 
吴连荣 平阳县人民医院神经内科 
潘学威 温州市中心医院神经内科 
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中文摘要:
      摘 要 目的:观察丁苯酞、阿托伐他汀联合阿司匹林治疗缺血性脑卒中的疗效。方法:72例缺血性脑卒中患者随机分成观察组和对照组各36例,对照组采用阿托伐他汀片与阿司匹林肠溶片治疗,观察组采用丁苯酞软胶囊、阿托伐他汀片与阿司匹林肠溶片联合治疗,均连续治疗30 d。比较两组患者神经功能改善情况、临床疗效和血脂指标变化。结果:治疗后,两组独立活动能力分级均较治疗前有显著改变(P<0.05),但两组间比较差异无统计学意义(P>0.05)。观察组总有效率为97.22%;对照组总有效率为91.67%,两组比较差异无统计学意义(P>0.05)。治疗后,两组患者TG、TC、LDL水平均下降(P<0.05),而HDL水平上升(P<0.05),组间比较差异无统计学意义(P>0.05)。治疗后两组患者NIHSS评分较前显著下降(P<0.05),但两组间差异无统计学意义(P>0.05)。两组药品不良反应发生率比较,差异无统计学意义(P>0.05)。结论:丁苯酞联合阿托伐他汀与阿司匹林治疗缺血性脑卒中能显著改善患者的NIHSS评分、独立生活能力和血脂水平,总有效率略高于阿托伐他汀与阿司匹林联合治疗,但差异无统计学意义,且不增加药品不良反应,其临床疗效有待进一步深入研究。
英文摘要:
      ABSTRACT Objective:To observe the curative effect of butylphthalide and atorvastatin combined with aspirin on cerebral arterial thrombosis. Methods:72 cases of cerebral arterial thrombosis patients were divided into observation group (n=36 cases) and control group (n=36 cases) at random. The patients of control group were given atorvastatin tablets and aspirin enteric coated tablets, and the patients of observation group were given butylphthalide soft capsules, atorvastatin tablets and aspirin enteric coated tablets. Both of them were treated 30 days continuously. The neurological function, clinical efficacy and changes of blood lipid parameter of two groups were recorded and compared. Results:The independent activity grading of the two groups after treatment were changed significantly than before (P<0.05) . But there was no significantly difference between two groups(P>0.05). The total effective rate of observation group was 97.22%, while the control group was 91.67%, their difference was no statistically significant (P>0.05). After treatment, TG, TC, LDL levels were decreased, while HDL level was risen in two groups, and both of them had statistically significant than before (P<0.05). But there were no significantly difference between the two groups(P>0.05). The NIHSS scores decreased significantly than before in two groups (P<0.05), but there had no significantly difference between two groups(P>0.05). Furthermore, there had no statistically significance between the two groups for the adverse drug reactions (P>0.05). Conclusion: Butylphthalide combined with atorvastatin and aspirin in the treatment of cerebral arterial thrombosis could significantly improve the patient’NIHSS score, blood lipid levels and the ability to live independently. The total effective rate was slightly higher than that of atorvastatin and aspirin in the treatment, but the difference was not statistically significant. It didn't increase the adverse drug reaction and its clinical efficacy remained to be further study.
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