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占替诺烟酸盐与川芎嗪治疗脑梗死的比较
引用本文:常立国,张守瑞,常维平,张洪君,秦少林.占替诺烟酸盐与川芎嗪治疗脑梗死的比较[J].中国新药与临床杂志,1997(1).
作者姓名:常立国  张守瑞  常维平  张洪君  秦少林
作者单位:聊城地区东昌医院
摘    要:目的:比较占替诺烟酸盐治疗脑梗死的疗效。方法:100例脑梗死病人,其中50例(男性28例,女性22例;年龄62±s8a)采用占替诺烟酸盐300~900mg加入0.004%倍他司汀500mL,静脉滴注,qd,10d为一个疗程,隔2~3d后再用第2个疗程。另50例为对照组(男性30例,女性20例;年龄63±7a)采用川芎嗪120mg加入0.004%倍他司汀500mL,静脉滴注,qd,方法与疗程同前。结果:占替诺烟酸盐组总有效率88%,显效率72%。川芎嗪组总有效率70%,显效率32%,经Ridit分析:P<0.05。同时还发现占替诺烟酸盐对血脂、血液流变学均有显著改善(P<0.01)。该药不良反应较少。结论:占替诺烟酸盐是治疗脑梗死的良好药物。

关 键 词:占替诺烟酸盐  川芎嗪  倍他司汀  脑梗死

Xantinol nicotinate vs ligustrazine in treating cerebral infarction
CHANG Li-Guo,ZHANG Shou-Rui,CHANG Wei-Ping,ZHANG Hong-Jun,QIN Shao-Lin.Xantinol nicotinate vs ligustrazine in treating cerebral infarction[J].Chinese Journal of New Drugs and Clinical Remedies,1997(1).
Authors:CHANG Li-Guo  ZHANG Shou-Rui  CHANG Wei-Ping  ZHANG Hong-Jun  QIN Shao-Lin
Abstract:AIM: To compare xantinol nicotinate vs ligustrazine in treating cerebral infarction. METHODS: Fifty patients with cerebral infarction were treated with xantinol nicotinate 300-900 mg in 0.004% betahistine hydrochloride 500 mL, iv, drip, qd for 10 d, and after 2-3 d, for the second course. Another 50 patients were treated with ligustrazine 120 mg in 0.004% betahistine hydrochloride 500 mL, iv, drip, qd, for the same courses. RESULTS: Xantinol group yielded a total response rate 88% and excellent rate 72%, which were higher than those of ligustrazine group 70% and 32% (P<0.01). Xantinol nicotinate also improved blood lipids and hemorheological parameters, and adverse reaction were mild. CONCLUSION: Xantinol nicotinate is better than ligustrazine in treating cerebral infarction.
Keywords:xanthinol niacinate  ligustrazine  betahistine  cerebral infarction  
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