超声波联合疏血通治疗短暂性脑缺血发作的效果.doc

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1、超声波联合疏血通治疗短暂性脑缺血发作的效果III超声波联合疏血通治疗短暂性脑缺血发作的效果［摘要］目的探讨体外超声波联合疏血通治疗短暂性脑缺血发作的临床效果及观察治疗前后血浆溶血磷脂酸极性相似总磷脂(AP)、椎动脉峰时的改变。方法选择2012年10月〜2013年2月河北省石家庄市第八医院内科收治的短暂性脑缺血发作患者110例为研究对象，根据治疗方法不同将其分为联合治疗组(n=60)和对照组(n二50)□两组均给予疏血通6eL加入0.9%氯化钠250mL静脉滴注，每日1次，连用14d,联合治疗组在对照组治疗的基础上加用体外(头部)超声波，每日2次，连用14do检测并比较两组治疗

2、前后AP、椎动脉峰时及疗效。结果治疗后，联合治疗组和对照组AP［(3.82±0.80)、(4.25±0.54)U］及椎动脉峰时［(0.126土0.009)、(0.133±0.012)s］较治疗前［AP：(6.43±1.52)、(6.26±1.52)U；椎动脉峰时：(0.162±0.013)、(0.164±0.013)s］显著降低，差异均有统计学意义(P<0.05),治疗后联合治疗组患者AP和椎动脉峰时均明显低于对照组，差异均有统计学意义(P<0.05)o联合治疗组总有效率(98.3%)显著高于对照组(74.0%),差异有高度统计学意义(P

3、疗短暂性脑缺血发作有很好的效果。［关键词］短暂性脑缺血发作；超声波；疏血通；总磷脂；椎动脉峰时［中图分类号］R743.31［文献标识码］A［文章编号］1673-7210(2014)10(b)-0028-04ResultsofultrasoundcombinedwithShuxuetongintreatingtransientischemicattackHAOShusenZHANGLiyingGAOLianshengAKANGHongxiaYANGXiaolingLTJunCHANGNingQTHangDepartmentofInternalMedicine,theEighth

4、HospitalofShijiazhuang,HebeiProvince,Shijiazhuang050081,China［Abstract］ObjectiveToinvestigatetheclinicalefficacyofultrasoundcombinedwithShuxuetongintreatingtransientischemicattackandthechangeofplasmalysophosphatidicacidpolaritysimilartotalphospholipids(AP),thepeaktimeofthevertebralarterybef

5、oreandaftertreatment.Methods110casesofpatientswithtransientischemicattackfromOctober2012toFebruary2013intheEighthHospitalofShijiazhuangwereselectedasstudyobjects,andtheyweredividedintocombinationtreatmentgroup(n=60)andcontrolgroup(n=50)；thepatientsintwogroupsweregivenShuxuetong6mLin0.9%sodi

6、umchloride250mL,1timeperday,for14days；combinationtreatmentgroupweregiventhevitro(head)ultrasoundtreatmentinaddition,2timesperday,for14days.APandvertebralarterypeaktimebeforeandaftertreatmentweredetectedandcompared,theefficacyoftwogroupswereobservedandcompared.ResultsAftertreatment,theAPandv

7、ertebralarterypeakofthecombinationtreatmentgroupandcontrolgroup[AP：(3.82±0.80),(4.25±0.54)U；vertebralarterypeaktime：(0.126+0.009),(0.133±0.012)s]weresignificantlyreduced,comparedwithpre-treatment[AP：(6.43+1.52),(6.26+1.52)U；vertebralarterypeaktime：(0.162