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目的观察马来酸桂哌齐特注射液联合天麻素注射液对椎-基底动脉供血不足患者的疗效。方法将诊断明确的椎-基底动脉供血不足的门、急诊患者60例,随机分为观察组和对照组各30例,观察组给予马来酸桂哌齐特联合应用天麻素治疗。对照组只给予天麻素治疗。治疗期间两组均不使用其他钙离子拮抗剂,常规给予阿司匹林、血塞通等抗凝及活血化瘀治疗。疗程结束后观察两组症状改善情况并作疗效对比观察。结果观察组患者的症状改善情况明显好于对照组(P<0.05),总有效率达96.7%,未发现明显毒副作用。结论马来酸桂哌齐特为Ca2+通道阻滞剂,能松弛血管平滑肌、扩张脑血管,又可增强腺苷活性,降低氧耗量的双重脑保护作用,联合天麻素治疗椎-基底动脉供血不足效果确切。
Objective To observe the efficacy of cinepazide maleate injection combined with gastrodin injection in patients with vertebro-basilar insufficiency. Methods Sixty patients with clinically diagnosed portal insufficiency and vertebrobasilar insufficiency were randomly divided into observation group (30 cases) and control group (30 cases). The observation group was treated with cinepazide maleate combined with gastrodin. The control group was given only gastrodin treatment. During the treatment, no other calcium antagonists were used in both groups. Aspirin, Xuesaitong and other anticoagulants and blood-activating and blood-stasis therapy were given routinely. Observed after the end of treatment to improve the symptoms of both groups and for efficacy comparison. Results The symptom improvement in the observation group was significantly better than that in the control group (P <0.05). The total effective rate was 96.7%. No obvious toxic or side effects were found. Conclusions Cinepazide maleate is a Ca2 + channel blocker that relaxes vascular smooth muscle and expands cerebral blood vessels. It also enhances the activity of adenosine and reduces the dual brain protective effect of oxygen consumption. Combined with gastrodin for the treatment of vertebro-basilar artery blood supply Insufficient effect.