注射用尤瑞克林联合心脑复健颗粒治疗急性脑梗死临床疗效及对血清hs-CRP、IL-6 水平的影响
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R743.33

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Clinical Study on Urinarykallid Injection Combined with Xinnao Fujian Granules for Acute Cerebral Infarction and Its Effect on Levels of hs-CRP and IL-6 in Serum
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    摘要:

    目的:观察注射用尤瑞克林联合心脑复健颗粒治疗急性脑梗死临床疗效及对血清高敏C-反应蛋白(hs-CRP)、白细胞介素-6(IL-6) 水平的影响。方法:选取90 例急性脑梗死患者,按随机数字表法分为对照组与研究组各45 例。2 组均给予常规急性缺血性脑卒中基础治疗,对照组在常规基础治疗上加用注射用尤瑞克林,研究组在对照组的基础上加用心脑复健颗粒。2 组疗程均为21 d。比较2 组临床疗效,观察2 组治疗前后美国国立卫生研究院卒中量表(NIHSS) 评分、日常生活能力Barthel指数(BI) 评分以及血清hs-CRP、IL-6 水平的变化。结果:研究组临床疗效总有效率为95.56%, 对照组总有效率为82.22%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组NIHSS 评分均较治疗前下降,BI 评分均较治疗前上升;研究组NIHSS 评分低于对照组,BI 评分高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组血清hs-CRP、IL-6 水平均较治疗前下降,研究组上述2 项水平均低于对照组,差异均有统计学意义(P<0.05)。观察期间,研究组发生血压下降1 例,头晕1 例,腹胀1 例,恶心1 例,不良反应发生率为8.89%;对照组发生血压下降1 例,头晕1 例,恶心2 例,腹胀1 例,不良反应发生率为11.11%。2 组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:注射用尤瑞克林联合心脑复健颗粒治疗急性脑梗死临床疗效显著,能改善急性脑梗死患者的神经功能缺损症状,减轻炎症反应,提高日常生活能力。

    Abstract:

    Abstract: Objective: To observe the clinical effect of urinarykallid injection combined with Xinnao Fujian granules for acute cerebral infarction and its effect on levels of high- sensitivity C- reactive protein(hs- CRP) and interleukin- 6(IL- 6) in serum. Methods: A total of 90 cases of patients with acute cerebral infarction were divided into the control group and the study group according to the random number table method,with 45 cases in each group. Both groups were routinely given basic treatment for acute ischemic stroke; the control group was additionally treated with urinarykallid injection, and the study group was additionally treated with Xinnao Fujian granules based on the treatment of the control group. Both groups were treated for 21 days. The clinical effects in the two groups were compared. Before and after treatment,the changes in scores of National Institutes of Health Stroke Scale(NIHSS) and activities of daily living in Barthel Index(BI) as well as levels of hs-CRP and IL-6 in serum in the two groups were observed. Results:The total effective rate of clinical effect was 95.56% in the study group and 82.22% in the control group, the difference being significant(P<0.05). After treatment, the NIHSS scores in the two groups were decreased when compared with those before treatment and the BI scores were increased, and the NIHSS score in the study group was lower than that in the control group and BI score was higher,differences being significant(P<0.05). After treatment, the levels of hs- CRP and IL- 6 in serum in the two groups were decreased when compared with those before treatment, and the above two levels in the study group were lower than those in the control group,differences being significant(P<0.05). During observation,in the study group,there was one case of blood pressure drop, one dizziness, one abdominal distension and one nausea, the incidence of adverse reactions being 8.89% ; in the control group,there was one case of blood pressure drop,one dizziness,two nausea and one abdominal distension,the incidence of adverse reactions being 11.11%. There was no significant difference being found in the comparison of incidences of adverse reactions between the two groups(P>0.05). Conclusion: Urinarykallid injection combined with Xinnao Fujian granules has a significant clinical effect in treating acute cerebral infarction, and can improve the symptoms of neurologic impairment of patients,relieve inflammatory responses and improve activities of daily living.

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周国锐,朱涛.注射用尤瑞克林联合心脑复健颗粒治疗急性脑梗死临床疗效及对血清hs-CRP、IL-6 水平的影响[J].新中医,2021,53(23):80-83

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  • 在线发布日期: 2021-12-10
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