通心络联合阿司匹林对急性脑梗死治疗的疗效及神经功能评价

Curative Effect of Unblocking Heart Meridian Combined with Aspirin on Acute Cerebral Infarction and Neurological Function Evaluation

目的 探究急性脑梗死患者治疗中通心络联合阿司匹林的应用效果以及对患者神经功能的作用。方法 参与本研究的50例急性脑梗死患者的入院治疗时间均为2018年2月-2019年5月,将其随机分两组实施不同的治疗方式进行对照分析,对比两组患者治疗前后神经功能缺损情况、治疗效果以及药物使用后不良反应发生情况。结果 两组患者治疗前NIHSS评分分组对比无统计学意义(P>0.05),治疗后NIHSS评分对比,研究组较低,50例患者就治疗有效率对比来看,研究组较高(P<0.05),治疗后消化道出血、皮下瘀斑以及血尿的发生率对比,两组差异并不明显(P>0.05)。ADL评分和ESS评分方面,研究组与对照组治疗前对比,未见明显差异(P>0.05);研究组治疗后较对照组高,差异显著(P<0.05)。hs-CRP方面,治疗前,两组差异较小(P>0.05);治疗后,研究组相比于对照组更低(P<0.05)。结论 急性脑梗死患者治疗中通心络联合阿司匹林的应用能够有效缓解患者神经功能缺损情况,提升治疗效果,且不会增加药物应用后的不适感受,治疗安全性同样有所保证,值得临床进一步采纳与推广。

Objective To explore effect of unblocking heart meridian combined with aspirin in treatment of patients with acute cerebral infarction and effect on neurological function.Methods The paper chose 50 patients with acute cerebral infarction hospitalized in our hospital from February 2018 to may 2019 for study,and divided them into two groups randomly based on different treatment methods for comparative analysis.Neurological deficit,treatment effect and adverse reactions after drug use between two groups was compared before and after treatment.Results There was no significant difference in NIHSS scores between two groups before treatment (P>0.05).NIHSS scores after treatment of study group were lower,and treatment effectiveness of study group was higher (P<0.05).Incidence of gastrointestinal bleeding,subcutaneous blood stasis and hematuria after treatment showed no significant difference between two groups (P>0.05).ADL scores and ESS scores showed no significant difference between study group and control group before treatment,(P>0.05).After treatment,those in study group were significantly higher than control group (P<0.05).hs CRP showed little difference between two groups before treatment (P>0.05).After treatment,that of study group was lower than control group (P<0.05).Conclusion Unblocking heart meridian combined with aspirin can alleviate neurological deficit,improve treatment effect effectively in treatment of patients with acute cerebral infarction,with treatment safety,no discomfort increase after medication,which is worthy of further application and promotion in clinical practice.