文章摘要
李乃侠 韩玉惠 郑德泉 钟耀艺 吴欣宇.血栓通对急性脑梗塞患者血清D- 二聚体和超敏C 反应蛋白的作用[J].,2014,14(7):1304-1307
血栓通对急性脑梗塞患者血清D- 二聚体和超敏C 反应蛋白的作用
Effect of Xueshuantong on SerumD-dimer and High Sensitivity C-reactiveProtein in Patients with Actue Cerebral Infarction
  
DOI:
中文关键词: 急性脑梗死  血栓通  D- 二聚体  超敏C- 反应蛋白
英文关键词: Acute cerebral infarction  Xueshuantong  D-dimer  High sensitivity C-reactive protein
基金项目:
作者单位
李乃侠 韩玉惠 郑德泉 钟耀艺 吴欣宇 兰州军区西安翠华路第二干休所
厦门大学附属东南医院神经内科 
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中文摘要:
      目的:观察血栓通对急性脑梗死(actue cerebral infarction, ACI) 患者血清D- 二聚体和超敏C 反应蛋白(high sensitivity C-reactive protein, hs-CRP)水平的影响。方法:将68 例ACI患者随机分为观察组和对照组。两组进行常规治疗,观察组加用血栓 通0.5 g/d,静滴。于治疗前、治疗后3 d、7 d和14 d 检测患者血清D- 二聚体和hs-CRP 浓度变化,比较两组治疗前后改良爱丁堡- 斯堪的纳维亚神经功能评分(MESSS)及日常生活能力Barthel指数(BI)的变化。结果:观察组在治疗后3 d、7 d和14 d,血清D- 二 聚体和hs-CRP浓度较对照组明显降低(P < 0.05),MESSS 和BI评分在治疗后7 d和14 d较对照组明显改善(P < 0.05)。观察组的 显效率和总有效率高于对照组(P < 0.05)。结论:血栓通可降低ACI患者血清D- 二聚体和hs-CRP水平,改善神经功能,是一种有 效治疗急性脑梗塞的方法。
英文摘要:
      Objective:To observe the effect of xueshuangtong on serumD-dimer and high sensitivity C-reactive protein in patients with ACI.Methods: Sixty-eight patients with ACI were randomly divided into two groups. One group received conventional treatment (control group) and the other received additional intravenous drip 0.5 g of xueshuantong per day besides conventional medications (treatment group). Serum concentrations of D-dimer and hs-CRP in the two groups were measured before the treatment and on 3 rd, 7 th and 14 th day respectively after treatment.Results:Compared with control group, the serum levels of D-dimer and hs-CRP in treatment group decreased significantly on the 3rd, 7th and 14th day after treatment (P < 0.05), while scores of MESSS and BI in treatment group improved obviously on 7 th and 14 th day after treatment (P < 0.05). The markedly effective rate and the total effective rate of treatment group were significantly than those of control group (P < 0.05).Conclusion:Xueshuangtong may reduce serum levels of D-dimer and hs-CRP and have neurprotection role. The results showed that Xueshuangtong may represent an effective treatment of ACI.
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