【摘要】：目的探討腦得康治療進(jìn)展性腦卒中(PIS)的臨床療效及對炎性因子血清學(xué)水平的影響。方法 98例PIS患者根據(jù)隨機(jī)數(shù)字表法分為對照組和觀察組,各49例,兩組均進(jìn)行常規(guī)治療,觀察組在此基礎(chǔ)上加用腦得康丸,8 w為1個(gè)療程。觀察并對比兩組的臨床療效、神經(jīng)功能缺損程度[美國國立衛(wèi)生研究院腦卒中量表(NIHSS)評分]和日常生活能力[日常生活活動(dòng)能力量表(ADL)評分]以及血清炎性因子水平。結(jié)果觀察組的臨床效果顯著高于對照組(P0.05)。治療8 w時(shí)兩組NIHSS評分均顯著降低,ADL評分均顯著升高且觀察組與對照組相比(P0.05)。治療后4、8 w時(shí)觀察組血清白細(xì)胞介素(IL)-6、超敏C反應(yīng)蛋白(hs-CRP)水平均顯著低于對照組,血清雌二醇(E2)水平顯著高于對照組(P0.05)。結(jié)論腦得康可改善SIP患者神經(jīng)功能、日常生活能力,抑制血清IL-6、hs-CRP水平并升高血清E2水平,治療效果較好。
[Abstract]:Objective to investigate the clinical efficacy of Naodekang in the treatment of (PIS) in patients with progressive stroke and its effect on the serum level of inflammatory factors. Methods 98 patients with PIS were divided into control group (n = 49) and observation group (n = 49) according to the method of random number table. All patients in the two groups were treated with routine therapy. On this basis, the observation group was given Naokang pills for 8 weeks as a course of treatment. To observe and compare the clinical efficacy, neurological impairment (NIHSS) score of NIH Stroke scale), ADL (activity of Daily living scale (ADL) score) and serum inflammatory factor level between the two groups. Results the clinical effect of the observation group was significantly higher than that of the control group (P0.05). At the 8th week after treatment, the NIHSS scores of the two groups were significantly decreased, the ADL scores were significantly increased, and the observation group was compared with the control group (P0.05). The levels of serum interleukin-6 (IL)-6) and hypersensitive C-reactive protein (hs-CRP) in the observation group were significantly lower than those in the control group at the 4th and 8th week after treatment, and the serum estradiol (E2) level was significantly higher than that in the control group (P0.05). Conclusion Naodekang can improve the neurological function, activity of daily living (ADL), inhibit the level of serum IL-6,hs-CRP and increase the level of serum E _ 2 in patients with SIP. The therapeutic effect is better.
【作者單位】： 膠州市人民醫(yī)院神經(jīng)外二科;
【基金】：青島市衛(wèi)生科技指導(dǎo)項(xiàng)目(2015WJZD145)
【分類號】：R743.3

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