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45例经临床和脑CT扫描/MRI确诊的急性期脑梗塞(CI)患者被随机分成东菱精纯克栓酶(巴曲酶,DF-521)治疗组(30例)和血液稀释对照组(15例)。二组患者均于治疗前和治疗后1周作神经功能缺损评分,结合治疗后患者的病残程度,评定临床疗效;同时作凝血功能、血粘度和血小板聚集率等实验室观测。结果表明,早期静脉滴注DF-521治疗CI安全、有效,总有效率为93.3%,明显高于对照组(46.7%,P<0.01)。DF-521能明显降低CI患者血粘度和血浆纤维蛋白原浓度,对ADP诱导的血小板聚集反应有显著抑制作用,可作为CI早期抗栓溶栓疗法的一种新选择。
Forty-five patients with acute cerebral infarction (CI) diagnosed by clinical and CT scan / MRI were randomly divided into two groups: the DF-521 treatment group (Batroxobin, DF-521) and the Hemodilution control group (15 cases). Two groups of patients before treatment and 1 week after treatment for neurological deficit score, combined with the patient’s degree of sick after treatment to assess clinical efficacy; at the same time for coagulation, blood viscosity and platelet aggregation rate and other laboratory observations. The results showed that early intravenous infusion of DF-521 in the treatment of CI was safe and effective, with a total effective rate of 93.3%, significantly higher than that of the control group (46.7%, P <0.01). DF-521 can significantly reduce the blood viscosity of CI patients and plasma fibrinogen concentration, ADP-induced platelet aggregation response was significantly inhibited, as an early CI anti-thrombolytic therapy a new choice.