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目的 :观察颈动脉加压滴注活诺林治疗脑梗塞的临床疗效。方法 :将 112例脑梗塞的病人随机分为治疗组和对照组。治疗组应用颈动脉加压滴注活诺林 10 0mg加入盐水 80ml于病灶侧颈总动脉处加压滴注 ,每分钟 60滴左右 ,2 0分钟左右滴完 ,每日或隔日一次 ,10次为一疗程。对照组给与生理盐水 2 5 0ml,加入活诺林 10 0mg ,每日 1次静滴 ,10～ 15天为 1疗程。两组均同时给于肠溶阿司匹林片 75mg/(次 .d) ,并给与脱水、改善微循环等综合治疗。治疗四周后进行神经功能缺失评分比较 ,判定疗效。结果 :治疗四周后神经功能缺失评分分析 ,治疗组与对照组相比差异有显著性。结论 :颈动脉加压滴注活诺林治疗脑梗塞疗效确切 ,简单易行 ,明显优于静脉组 ,值得临床推广应用
OBJECTIVE: To observe the clinical effect of carotid artery infusion of live Norin on cerebral infarction. Methods: 112 patients with cerebral infarction were randomly divided into treatment group and control group. The treatment group with carotid artery pressure infusion of live Norin 10mg saline 80ml at the lesion side of the common carotid artery pressure infusion, 60 drops per minute, 20 minutes drip finished, daily or every other day, 10 times For a course of treatment. The control group was given 250ml of normal saline, 100ml of livenolin was added, once a day for intravenous infusion, 10-15 days for a course of treatment. Both groups also give enteric-coated aspirin tablets 75mg / (times. D), and give dehydration, improve microcirculation and other comprehensive treatment. Four weeks after treatment, neurological deficit scores were compared to determine the efficacy. Results: After four weeks of treatment, the neurological deficit score analysis showed that there was significant difference between the treatment group and the control group. Conclusion: The carotid artery infusion of live Norin is effective in treating cerebral infarction. It is simple and easy to perform and is obviously superior to the intravenous group, which is worthy of clinical application