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阿替普酶治疗急性脑梗死的疗效和安全性研究
引用本文:史宝和,陈晓虹,李成洋,阿拉坦. 阿替普酶治疗急性脑梗死的疗效和安全性研究[J]. 辽宁药物与临床, 2012, 0(10): 635-636
作者姓名:史宝和  陈晓虹  李成洋  阿拉坦
作者单位:[1]辽宁省人民医院神经内科,沈阳110016 [2]辽宁省人民医院心内科,沈阳110016 [3]塔城地区人民医院,新疆塔城834700
摘    要:目的评价阿替普酶治疗急性脑梗死的疗效和安全性。方法 2011年1月-2012年3月收治的急性脑梗死患者共36例,给予阿替普酶溶栓治疗。结果溶栓后6 h,患者NIHSS较溶栓前明显降低(16.75±4.56 vs.23.89±6.17,P〈0.05),24 h NIHSS较溶栓后6 h明显降低(10.78±3.72 vs.16.75±4.56,P〈0.05),7d NIHSS较24 h明显降低(5.47±1.96 vs.10.78±3.72,P〈0.05)。结论在一定的时间窗内,阿替普酶治疗急性脑梗死安全有效。

关 键 词:急性脑梗死  阿替普酶  静脉溶栓

Clinical effect and safety of alteplase on acute cerebral infarction
SHI Bao-hea,CHEN Xiao-honga,LI Cheng-yangb,A La-tan. Clinical effect and safety of alteplase on acute cerebral infarction[J]. Liaoning Pharmacy and Clinical Remedies, 2012, 0(10): 635-636
Authors:SHI Bao-hea  CHEN Xiao-honga  LI Cheng-yangb  A La-tan
Affiliation:1.a.Department of Neurology,b.Department of Cardiology,Liaoning Province People′s Hospital,Shenyang 110016,China;2.People′s Hospital of Tacheng District,Tacheng 834700,China)
Abstract:Objective To study the effect and safety of alteplase on acute cerebral infarction.Methods 36 patients with acute cerebral infarction were treated with alteplase from January 2011 to March 2012.Results After 6 h of thrombolytic therapy,the NIHSS decreased obviously(16.75±4.56 vs.23.89±6.17,P0.05),and there was significant difference in NIHSS between the 6th and 24th hour(10.78±3.72 vs.16.75±4.56,P0.05)as well as 24th hour and 7th day(5.47±1.96 vs.10.78±3.72,P0.05).Conclusion Intravenous thrombolytic therapy of alteplase is a safe and effective treatment for acute cerebral infarction within a certain therapeutic time window.
Keywords:Acute cerebral infarction  Alteplase  Intravenous thrombolysis
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