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纸质出版:2013
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欧阳宛炯,黄银辉,李明媚,卓仕途,陈振杰,李隽静,张碧月,叶励超,蔡若蔚.发病前使用他汀类药物对急性缺血性脑卒中患者静脉溶栓疗效的影响[J].陆军军医大学学报(原第三军医大学学报),2013,35(18):1980-1983.
Ouyang Wanjiong,Huang Yinhui,Li Mingmei,Zhuo Shitu,Chen Zhenjie,Li Juanjing,Zhang Biyue,Ye Lichao,Cai Ruowei.Efficacy of statins therapy prior to acute ischemic stroke on intravenous thrombolysis: report of 181 cases[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(18):1980-1983.
欧阳宛炯,黄银辉,李明媚,卓仕途,陈振杰,李隽静,张碧月,叶励超,蔡若蔚.发病前使用他汀类药物对急性缺血性脑卒中患者静脉溶栓疗效的影响[J].陆军军医大学学报(原第三军医大学学报),2013,35(18):1980-1983. DOI:
Ouyang Wanjiong,Huang Yinhui,Li Mingmei,Zhuo Shitu,Chen Zhenjie,Li Juanjing,Zhang Biyue,Ye Lichao,Cai Ruowei.Efficacy of statins therapy prior to acute ischemic stroke on intravenous thrombolysis: report of 181 cases[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(18):1980-1983. DOI:
目的 探讨发病前使用他汀类药物治疗对急性缺血性脑卒中患者静脉溶栓疗效的影响。 方法 从2006年4月到2012年11月连续收集发病6 h内静脉溶栓治疗的181例急性缺血性脑卒中患者作为研究对象。根据发病前有无使用他汀类药物将患者分为使用他汀类药物组和未使用他汀类药物组。采用改良的Rankin量表评价神经功能恢复状况。 结果 181例患者中发病前使用他汀类药物的溶栓治疗组30例,未使用他汀类药物的溶栓治疗组151例。两组在90 d内溶栓预后良好率(50.00% vs 56.95%,
P
=0.166)、颅内出血的发生率(26.67%
vs
18.54%,P=0.309)、症状性颅内出血的发生率(16.67% vs 11.26%,
P
=0.408)及病死率(10.00%
vs
4.64%,
P
=0.240)均无统计学差异。 结论 发病前使用他汀类药物对急性缺血性脑卒中患者静脉溶栓疗效无影响且安全。
Objective To determine the effect of taking statin drugs before stroke onset on the outcome of thrombolytic therapy in thrombolysis patients within 6 h after acute ischemic stroke. Methods A total of 181 consecutive patients with acute ischemic stroke undergoing intravenous therapy with in 6 h from symptom onset during April 2006 to November 2012 were enrolled in this study. According to whether having prior administration of statin drugs
the parents who met the inclusion criteria were divided into 2 groups
prior use of statin drugs group (n=30) and the non-prior use of statin drugs gr
oup (n=151). Same thrombolytic therapy was carried out to the 2 groups of patients. Modified Rankin Scale were used to evaluate the recovery of neurological functions. All patients were followed up by once per month
for 3 months. Results There was no significant difference in the efficacy of good prognosis (50.00%
vs
56.95%
P=0.166)
the incidence of intracranial hemorrhage (26.67%
vs
18.54%
P
=0.309)
the prevalence of symptomatic intracranial hemorrhage (16.67%
vs
11.26%
P
=0.408)
and the mortality (10.00%
vs
4.64%
P
=0.240) between the 2 groups. Conclusion The prior use of statin drugs has no effect on the therapeutic efficiency and saftety of thrombolytic therapy. Intravenous thrombolysis therapy is safe for patients with acute ischemic stroke but taking stain drugs before stroke onset.
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