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低分子肝素治疗急性脑梗塞的临床研究
引用本文:金庆云!江苏,赵中!江苏,周晋贤!江苏,刘秋芳!江苏,邱晨红!江苏.低分子肝素治疗急性脑梗塞的临床研究[J].中国现代医药杂志,1999(4).
作者姓名:金庆云!江苏  赵中!江苏  周晋贤!江苏  刘秋芳!江苏  邱晨红!江苏
作者单位:苏州市第四人民医院神经内科
摘    要:目的 研究早期应用低分子肝素(LMWH)治疗急性脑梗塞的疗效.方法 随机将70例急性脑梗塞患者分成二组,分别采用低分子肝素及低右丹参(低右组)治疗,观察二组治疗后10天及3月时疗效;同时检测治疗前后血浆组织型纤溶酶原激活剂(t-PA)、D-二聚体(D-dimer).结果 LMWH组治疗急性脑梗塞(10天和3月)有效率明显高于低右组(P<0.05),治疗后t-PA较治疗前增加,以LMWH组为明显(P<0.005),用药后二组D-dimer相比差异显著(P
关 键 词:低分子肝素  脑梗塞  D-二聚体  组织型纤维蛋白溶酶原激活剂

The clinical study of treatment of acute cerebral infarction with low-molecular-weight heparin
Jin Qingyun,Zhao Zhong,Zhou Jinxian,et al..The clinical study of treatment of acute cerebral infarction with low-molecular-weight heparin[J].Modern Medicine Journal of China,1999(4).
Authors:Jin Qingyun  Zhao Zhong  Zhou Jinxian  
Institution:Jin Qingyun,Zhao Zhong,Zhou Jinxian,et al. Department of Neurology,Thefourth people's Hospital of Suzhou,Suzhou215001
Abstract:ve To study the therapeutic effects of LMWH for acute cerebral infarction. Methods70 cases of acute cerebral infarction were divided randomly into two groups, LM WH, Dextran, plasma t-PA andD-dimer were determined before and after treatment. Results The obviously therapeutic effects were observed inLMWH group compared with Dextran group after 10 days and 3 months. t-PA and D-dimer of concentration werehigher in LMWH group in post-treatment than pre-treatment (P < 0.005), marked significance was found in bothgroups after treatment (P < 0. 01, P < 0. 05). Conclusion Early administration of LMWH may increase the activityof plastin, promote the embolus to dissolve and the recovery of nervous function.
Keywords:Low-Molecular-Weight Heparin  Cerebral infarction  D-dimer t-PA
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