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目的探讨依达拉奉配合康复治疗治疗脑梗死疗效的分析。方法选69例在发病1d～48h入院的患者。原发病:高血压46例,高脂血症、高黏血症51例,肺心病、冠状动脉粥样硬化性心脏病20例。临床表现;口角歪斜30例、语词不清58例,肢体功能障碍69例。其中:肌力Ⅱ16例,肌力Ⅲ25例,Ⅳ18例,Ⅴ10例。均在入院当天使用①依达拉奉20～30mg+生理盐水100mL静注30min,2次/d。②配合康复治疗。观察疗效,进行临床分析。结果通过治疗发现缩短患者恢复生活能够自理的时间,并且能够发挥两种治疗的协同作用,疗效显著。结论采用发病48h内使用脑保护剂依达拉奉药物和康复治疗脑梗死观察,患者宜接受,收效好,降低致残率,提高生活自理的能力,值得推广。
Objective To investigate the curative effect of edaravone and rehabilitation therapy on cerebral infarction. Methods Sixty-nine patients were admitted to hospital from the first day to the 48th hour. Primary disease: 46 cases of hypertension, hyperlipidemia, hyperviscosity in 51 cases, pulmonary heart disease, coronary heart disease in 20 cases. Clinical manifestations; mouth skewed in 30 cases, 58 words unclear, 69 cases of limb dysfunction. Of which: muscle strength in 16 cases, muscle strength in 2525 cases, Ⅳ18 cases, Ⅴ10 cases. On the day of admission were used ① edaravone 20 ~ 30mg + saline 100mL intravenously 30min, 2 times / d. ② with rehabilitation. Observation of efficacy, clinical analysis. Results Through the treatment found to shorten the life of patients to recover their time, and can play a synergistic effect of the two treatments, the effect is significant. Conclusion The use of brain protective agent Edaravone within 48 hours of onset of cerebral infarction and rehabilitation of the observation, the patients should accept, effective, reduce the morbidity, improve their ability to take care of themselves, it is worth promoting.