银杏叶提取物注射液联合阿托伐他汀钙片对急性脑梗死患者的影响分析OA
Analysis of the Effect of Ginkgo Biloba Extract Injection Combined with Atorvastatin Calcium Tablets on Patients with Acute Cerebral Infarction
目的:探讨银杏叶提取物注射液联合阿托伐他汀钙片对急性脑梗死(ACI)患者的影响.方法:选取 2021年1月—2023年 9月枣庄市峄城区人民医院收治的 78例ACI患者为研究对象,采用随机数字表法将其分为对照组和研究组,各 39例.对照组采取阿托伐他汀钙片治疗,研究组采取阿托伐他汀钙片联合银杏叶提取物注射液进行治疗.两组均治疗2周.比较两组炎症因子水平、脑血流动力学指标、神经功能、预后情况、生活质量、不良反应发生情况.结果:治疗后,两组白细胞介素-6、肿瘤坏死因子-α及C反应蛋白水平均较治疗前降低,且研究组均低于对照组,差异均有统计学意义(P<0.05).治疗后,两组动脉阻力指数较治疗前降低,且研究组低于对照组,两组动脉舒张期血流速度及收缩期血流速度均较治疗前提升,且研究组均快于对照组,差异均有统计学意义(P<0.05).治疗后,两组美国国立卫生研究院卒中量表评分、改良Rankin量表评分均较治疗前降低,且研究组均低于对照组,差异均有统计学意义(P<0.05).治疗后,两组生活质量综合评定问卷-74评分均较治疗前升高,且研究组高于对照组,差异均有统计学意义(P<0.05).研究组并发症发生率为10.26%,高于对照组的5.13%,但两组比较,差异无统计学意义(P>0.05).结论:银杏叶提取物注射液联合阿托伐他汀钙片能够有效改善ACI患者脑血流动力学指标及炎症症状,加速恢复神经功能,提高生活质量,利于预后,并具有良好的安全性.
Objective:To investigate the efficacy of Ginkgo Biloba Extract Injection and Atorvastatin Calcium Tablets in the treatment of patients with acute cerebral infarction(ACI).Methods:A total of 78 patients with ACI admitted to Zaozhuang Yicheng District People's Hospital from January 2021 to September 2023 were selected as the study objects,and were divided into a control group and a study group by random number table method,with 39 cases in each group.The control group were treated with Atorvastatin Calcium Tablets,while the study group were treated with Ginkgo Biloba Extract Injection combined with Atorvastatin Calcium Tablets.Both groups were treated 2 weeks.The levels of inflammatory factors,cerebral hemodynamic indicators,neurological function,prognosis,quality of life,and incidence of adverse reactions were compared between the two groups.Results:After treatment,the levels of interleukin-6,tumor necrosis factor alpha,and C-reactive protein were decreased in both groups,and the study group was lower than the control group,with statistically significant differences(P<0.05).After treatment,the arterial resistance index were lower than before treatment in both groups,and the study group was lower than the control group.The velocity in systolic stage and the velocity in diastolic stage were higher than before treatment in both groups,and the study group was faster than the control group,with statistically significant differences(P<0.05).After treatment,the scores of the National Institutes of Health Stroke Scale and the modified Rankin Scale were lower than before treatment in both groups,and the study group were lower than the control group,with statistically significant differences(P<0.05).After treatment,the Generic Quality of Life Inventory-74 scores were higher than before treatment in both groups,and the study group was higher than the control group,with statistically significant differences(P<0.05).The incidence of complications in the study group was 10.26%,which was higher than 5.13%in the control group,but there was no statistically significant difference between the two groups(P>0.05).Conclusion:Ginkgo Biloba Extract Injection combined with Atorvastatin Calcium Tablets can effectively improve cerebral hemodynamic indicators and inflammatory symptoms in ACI patients,accelerate the recovery of neurological function,improve quality of life,and benefit prognosis,with good safety.
秦波;黄海峰
山东省枣庄市峄城区人民医院药剂科,山东 枣庄 277000山东省枣庄市峄城区人民医院神经内科,山东 枣庄 277000
医药卫生
急性脑梗死银杏叶提取物注射液阿托伐他汀钙神经功能预后
Acute cerebral infarctionGinkgo Biloba Extract InjectionAtorvastatin CalciumNeurological functionprognosis
《中国伤残医学》 2025 (6)
28-32,5
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