|
|
Clinical Study of Low-Dose Urokinase in the Treatment of Acute Mild Cerebral Infarction |
Lan Shaoyong, Lin Dong, Su Binru |
Department of Neurology,Dongguan Eighth People's Hospital,Dongguan 523000,China |
|
|
Abstract Objective To study the clinical effect of low-dose urokinase in patients with acute cerebral infarction. Methods 50 patients were selected for study,divided into study group and routine group,25 cases in each group.Both groups were treated for 2 weeks,and the total effective rate was calculated.The neurological deficit score scale(NIHSS)and the modified Rankin score,Barth index(BI),and activity of daily living(ADL)were used to treat the patient's nerves.The function,as well as the quality of life and daily living ability,are assessed.The plasma viscosity,high and low cut whole blood viscosity,and fibrinogen(FIB)levels were compared before and after treatment. Results After comparison,the NIHSS score and the improved Rankin(mRS)score of the study group were much better than the conventional group 3 months after treatment,P<0.05,the difference between the groups was statistically significant.There was no significant difference in the incidence of complications between the two groups,P>0.05,the difference was not statistically significant.The daily living ability and quality of life of the two groups were compared.The study group was far superior to the conventional group,P<0.05,and the difference was statistically significant.The changes of platelet counts before and after treatment in the two groups were compared.There were significant differences in the levels of the indicators before and after treatment in the study group,P<0.05.has statistical significane.There was no significant difference in platelet counts between the conventional group before and after treatment,P>0.05,and the difference was not statistically significant.Comparing the changes of hematocrit in the two groups before and after treatment,the hematocrit values of the two groups were lower than the treatment before treatment.The decline of the study group was much higher than that of the conventional group.There was a significant difference in the levelofcompressio,P<0.05,thedifference was statistically significant. Conclusion The clinical use of low-dose urokinase can significantly improve the efficacy of patients with acute cerebral infarction,improve the safety of patients,and has a high clinical value.
|
Received: 12 December 2020
|
|
|
|
|
[1] 印婷,陈海萍,汪文,等.电针预处理对急性脑梗死大鼠神经功能损伤及大脑皮层Cx43蛋白表达的影响[J].针刺研究,2019,11(7):497-500. [2] 刘玉金,张孝军,宋伟祥,等.尿激酶经导管接触溶栓治疗急性肢体缺血初步临床应用[J].介入放射学杂志,2018,27(3):262-265. [3] 逯笑柯,郭新宾,管生,等.重型颅内静脉窦血栓形成介入溶栓安全性和有效性[J].介入放射学杂志,2019,28(6):577-581. [4] 王绍显,刘圣,贾振宇,等.血管内多技术联合应用治疗急性肾动脉闭塞的初步经验[J].介入放射学杂志,2019,28(6):537-541. [5] 刘强,王永利,王征宇,等.导管接触溶栓治疗急性下肢深静脉血栓形成时D-二聚体和纤维蛋白原变化规律[J].介入放射学杂志,2019,28(5):421-425. [6] 鲁志科,孙榕,陈硕.老年慢性心力衰竭患者血清可溶性尿激酶型纤溶酶原激活物受体水平变化及临床意义[J].临床心血管病杂志,2019,35(3):263-267. [7] 公茂峰,顾建平,陈国平,等.尿激酶经导管溶栓治疗下肢深静脉血栓失败后介入补救方案的探讨[J].临床放射学杂志,2019,38(1):161-166. [8] 杨丽红,杜元灏,李晶.电针对脑梗死大鼠脑血管内皮细胞Apelin-APJ系统的影响[J].针刺研究,2017,42(1):9-13. [9] 王金海,赵敏,鲍英存,等.头穴透刺对急性脑梗死患者血清超敏C反应蛋白及炎性反应因子水平的影响[J].针刺研究,2017,41(1):80-84. [10] 马金娜,王再岭,宁丽娜,等.针刺结合颈部皮肤电刺激治疗脑梗死后吞咽障碍的疗效观察[J].针刺研究,2017,40(3):238-241. [11] 刘敏洁,薛现军,席妤静,等.尿激酶联合肝素封管对长期血液透析患者中心静脉导管感染与通畅性的影响[J].中华医院感染学杂志,2018,28(19):2948-2951. [12] 林佳,徐浩,黄瑞,等.AngioJet装置在左下肢深静脉血栓综合治疗中的临床应用[J].临床放射学杂志,2018,37(9):1570-1575. [13] 李佩,张庆桥,徐浩,等.AngioJet血栓清除装置治疗急性髂股静脉血栓形成的临床应用[J].临床放射学杂志,2018,37(8):1365-1369. [14] 林佳,徐浩,黄瑞,等.AngioJet抽吸在布加综合征合并血栓中的初步应用[J].临床放射学杂志,2018,37(8):1375-1380. [15] 谢育媛,王文晞,郭江红.蚓激酶中激酶活性蛋白质组成分析及效价测定[J].中国医药工业杂志,2018,49(7):944-949. [16] 陈阳,董徽,蒋雄京,等.置管溶栓辅助腔内成形治疗下肢动脉闭塞的有效性和安全性[J].中国循环杂志,2018,33(7):677-680. [17] 刘玉金,张孝军,宋伟祥,等.尿激酶经导管接触溶栓治疗急性肢体缺血初步临床应用[J].介入放射学杂志,2018,27(3):262-265. [18] 史亚东,顾建平,陈亮,等.急性人工动静脉内瘘血栓栓塞介入治疗[J].介入放射学杂志,2018,27(1):63-67. [19] 李艳红,夏洪.小剂量尿激酶滴注并封管预防老年透析患者导管通路形成纤维蛋白鞘的临床疗效[J].中国老年学杂志,2017,37(23):5908-5910. [20] 李燕,陈婷婷,尹媛媛,等.下肢深静脉血栓溶栓治疗中两种气囊压力带辅助应用的对照研究[J].介入放射学杂志,2017,26(11):1042-1045. [21] 牛镜磊,彭瑜,白明,等.血浆可溶性尿激酶型纤溶酶原激活物受体水平与急性冠状动脉综合征的相关性及其影响因素的研究[J].中国循环杂志,2017,32(10):970-974. [22] 牛小伟,张晶晶,白明,等.溶栓药物治疗中国急性ST段抬高型心肌梗死患者有效性和安全性的网状Meta分析[J].中国循证医学杂志,2017,17(7):798-809. |
[1] |
. [J]. journal1, 2021, 41(5): 90-91. |
[2] |
. [J]. journal1, 2021, 41(3): 57-57. |
|
|
|
|