丁苯酞注射液治疗老年急性脑梗死患者的疗效及其对脑血流动力和脑血管储备能力的影响

doi:10.13481/j.1671-587x.20170225

Abstract

Abstract: Objective: To probe the therapeutic effects of Butylphthalide Injection in the elderly patients with acute cerebral infarction (ACI) and its influence in cerebral hemodynamics and cerebral vascular reserve (CVR),and to clarify the pharmacological action mechanism of butylphthalide in treatment of ACI. Methods: A total of 100 cases of elderly patients with ACI were selected as the subjects and divided into observation group and control group according to the serial number on admission.Fifty cases were included in each group. The patients in control group were treated with the conventional treatment, while the patients in observation group were treated with Butylphthalide Injection on the basis of the conventional treatment. The National Institute of Health Stroke Scale (NIHSS) score, the brain hemodynamics indexes of the peak velocity (Vp), the mean velocity (Vm) and the differences of the velocity (DVp, DVm) as well as pulsatility index (PI), CVR of bilateral middle cerebral artery (MCA)of the patients in two groups were observed and compared.The therapeutic effects of the patients in two groups were evaluated and compared. Results: The NIHSS score of the patients in observation group after treatment was significantly lower than that in control group (t=15.420, P<0.05). The therapeutic effects and the clinical efficiency of the patients in observation group were significantly better than those in control group (U=2.225, χ²=5.005, P<0.05).The Vp and Vm of the patients in observation group after treatment were significantly higher than those in control group(t=10.819,t=7.259, P<0.05) and the DVp and DVm were significantly lower than those in control group (t=16.438,t=19.055, P<0.05). The CVR of the patients in observation group after treatment was significantly higher than that in control group(t=6.884, P<0.05)and the PI was significantly lower than that in control group (t=4.979, P<0.05). Conclusion: Butylphthalide Injection can effectively correct the abnormality of brain hemodynamics in the ACI patients, enhance the ability of body in maintaining the stability of cerebral vascular perfusion, improve the neurological symptoms in the patients with ACI, and improve the therapeutic effects.

Key words: cerebral vascular reserve, cerebral infarction, dl-3-n-butylphthalide injection, cerebral hemodynamics, elderly

CLC Number:

R743

LIU Yingli, YANG Libin, ZHANG Shushi, ZHANG Shuyan. Therapeutic effect of ButylphthalideInjection inelderly patients with acute cerebral infarction and its influence incerebral hemodynamics andcerebral vascular reserve[J].Journal of Jilin University Medicine Edition, 2017, 43(02): 344-348.

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Therapeutic effect of ButylphthalideInjection inelderly patients with acute cerebral infarction and its influence incerebral hemodynamics andcerebral vascular reserve

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