›› 2010, Vol. 5 ›› Issue (08): 635-638.

• 论著 • 上一篇    下一篇

尤瑞克林治疗急性脑梗死的临床疗效观察

刘鹏,种莉,唐鹏,高甜,刘玥,李晓青,李锐,郭民侠   

  1. 陕西省西安市陕西省人民医院老年神经内科
  • 收稿日期:2010-05-07 修回日期:2010-04-07 出版日期:2010-08-20 发布日期:2010-08-20
  • 通讯作者: 郭民侠

Urinary Kallidinogenase for the Treatment of Acute Cerebral Infarction

LIU Peng,CHONG Li, TANG Peng, et al.   

  • Received:2010-05-07 Revised:2010-04-07 Online:2010-08-20 Published:2010-08-20
  • Contact: GUO Min-Xia

摘要: 目的 探讨尤瑞克林对急性脑梗死的疗效。方法 随机将住院急性脑梗死患者60例分为治疗组(n=30)和对照组(n=30),治疗组给予尤瑞克林及常规治疗,对照组仅予常规治疗。于治疗前及治疗后14d按照美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)进行神经功能缺损程度评定及日常生活活动量表(Barthel指数)评分并记录不良反应。90d随访时再次评定Barthel指数。结果 与治疗前相比,治疗后14d两组NIHSS评分均下降(治疗组:8.57±2.25 vs 15.32±2.16,P =0.003;对照组:9.23±0.96 vs 14.76±1.93,P =0.012),治疗组优于对照组(P =0.023)。与治疗前相比,治疗后14d两组Barthel指数差异无统计学意义;随访90d时两组Barthel指数均明显下降(治疗组:83.05±2.11 vs 47.75±1.52,P =0.004;对照组:72.15±2.22 vs 50.25±0.23,P =0.022),且治疗组优于对照组(P =0.034)。两组均无明显不良反应。结论 尤瑞克林可明显改善急性脑梗死所致的神经功能缺损,改善远期预后,安全性良好。

关键词: 尤瑞克林; 脑梗死; 治疗结果; 过敏反应

Abstract: Objective To evaluate the therapeutic effects of urinary kallidinogenase for acute cerebralinfarction.Methods Sixty patients with acute cerebral infarction were randomly divided into normaltreatment plus Urinary Kallidinogenase (UK, n=30) or normal treatment (Control, n=30). NationalInstitutes of Health Stroke Scale (NIHSS) and Barthel index of all patients were assessed beforeand 14d after the treatment, Barthel index was followed up 90d after the treatment. The adverseeffects were also recorded.Results After 14d, NIHSS of both UK and control groups were decreased as compared with thepretreatment(UK, 8.57±2.25 vs 15.32±2.16, P =0.003; control, 9.23±0.96 vs 14.76±1.93, P =0.012).The decrease of NIHSS in UK group was more significant than that in control group (P =0.023).No obvious change in Barthel index in two groups were identified. After 90d, Barthel index ofboth UK and control group were decreased as compared with the pretreatment(UK, 83.05±2.11 vs47.75±1.52, P =0.004; Control, 72.15±2.22 vs 50.25±0.23, P =0.022). The decrease of Barthel indexin UK group was more significant than that in control group (P =0.034). No obvious side effectsrelated to UK treatment were observed.Conclusion Urinary kallidinogenase can obviously improve neurologic impairment andprognosis of acute cerebral infarction with good tolerability.

Key words: Urinary Kallidinogenase; Brain infarction; Treament outcome; Anaphylaxis