丁苯酞序贯治疗急性脑梗死合并认知功能障碍患者的效果及心理状态的影响

The effect and psychological status of sequential treatment with butylphthalide in patients with acute cerebral infarction complicated with cognitive impairment

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(5)
作者
作者单位

连云港市第一人民医院,急诊科 ;

摘要
【摘要】目的:系统分析丁苯酞序贯治疗急性脑梗死合并认知功能障碍患者的效果及心理状态的影响。方法:抽取2020年9月~2022年9月期间本院进行治疗的160例急性脑梗死合并认知功能障碍患者作为研究对象,以“治疗不同方式”为基点平等划分为对照组、观察组,各组收入80例,对照组实施丁苯酞静脉滴注疗法,观察组实施丁苯酞序贯治疗治疗,系统分析两组的临床效果、日常生活能力(Barthel)评分、神经功能缺损量表(NIHSS)评分、简易精神状态量表(MMSE)评分、心理状态评分以及药物副作用发生率。结果:治疗前,两组患者的Barthel指数、NIHSS评分、MMSE评分、心理状态评分无统计学差异,P>0.05;治疗后,对比于对照组,观察组患者的Barthel指数与MMSE评分显著较高,NIHSS评分、心理状态评分显著较低,P<0.05;治疗后,相较于对照组,观察组患者的临床效果显著较高,P<0.05;治疗后,相较于对照组,观察组患者的药物副作用发生率略微低,数据对比P>0.05(差异无统计学意义)。结论:急性脑梗死合并认知功能障碍患者实施丁苯酞序贯治疗治疗可积极提升其治疗效果,改善神经功能缺损与认知功能程度,稳定心理状态,提高药物安全性,进而为临床治疗提供良好的新思路。
Abstract
[Abstract] Objective: To systematically analyze the efficacy and psychological impact of sequential treatment with butylphthalide in patients with acute cerebral infarction and cognitive impairment. Method: A total of 160 patients with acute cerebral infarction combined with cognitive impairment who underwent treatment in our hospital from September 2020 to September 2022 were selected as the study subjects. Based on "different treatment methods", they were equally divided into a control group and an observation group, with 80 patients in each group receiving income. The control group received intravenous drip therapy with butylphthalide, while the observation group received sequential treatment with butylphthalide. The clinical efficacy, daily living ability (Barthel) score, and Neurological Impairment Scale (NIHSS) score, Minimal Mental State Scale (MMSE) score, psychological state score, and incidence of drug side effects. Result: Before treatment, there was no statistically significant difference in Barthel index, NIHSS score, MMSE score, and psychological state score between the two groups of patients, P>0.05; After treatment, compared with the control group, the Barthel index and MMSE score of the observation group patients were significantly higher, while the NIHSS score and psychological state score were significantly lower, P<0.05; After treatment, compared to the control group, the clinical efficacy of the observation group patients was significantly higher, P<0.05; After treatment, compared to the control group, the incidence of drug side effects in the observation group was slightly lower, with data comparison P>0.05 (no statistically significant difference). Conclusion: The implementation of sequential treatment with butylphthalide in patients with acute cerebral infarction and cognitive impairment can actively improve its therapeutic effect, improve neurological deficits and cognitive function, stabilize psychological status, improve drug safety, and provide a good new approach for clinical treatment.
关键词
关键词:丁苯酞序贯;急性脑梗死合并认知功能障碍;效果;心理状态
KeyWord
Keywords: Butylphthalein sequential; Acute cerebral infarction with cognitive impairment; Effect; Psychological state
基金项目
页码 1081-1084
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高秀梅*. 丁苯酞序贯治疗急性脑梗死合并认知功能障碍患者的效果及心理状态的影响 [J]. 国际精神病学杂志. 2023; 50; (5). 1081 - 1084.

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