陈建伟郑州中医骨伤病医院，河南郑州　450000

尼麦角林注射液治疗脑血管功能不全的临床价值分析

陈建伟
郑州中医骨伤病医院，河南郑州450000

目的 评价分析尼麦角林注射液治疗脑血管功能不全的临床价值。方法 整群选取该院神经内科2015年1月—2016年2月接诊的86例血管功能不全患者，按照随机法分为观察组43例，对照组43例。对照组实施常规治疗，观察组在加用尼麦角林注射液，对所有患者治疗12周。观察分析在治疗12周后，两组患者的临床疗效、患者的不良反应发生情况；采用多普勒观察治疗前后大脑中动脉（MCV）与椎动脉（AV）的舒张末期血流速度（VE）、脉动指数（PI）数值、收缩期血流速度（VP）等指标。结果与对照组多普勒结果相比，观察组患者的VP、VE值均显著增高，差异有统计学意义 （P＜0.05）；PI数值明显降低，差异有统计学意义（P＜0.05）；且观察组的治疗疗效明显优于对照组，差异有统计学意义（P＜0.05），且不易发生不良反应差异有统计学意义（P＜0.05）。结论 在进行基础治疗时，加用尼麦角林注射液，能够显著提高脑血管功能不全患者的治疗疗效，改善患者脑动脉血流状况，可应用到临床。

尼麦角林；脑血管功能不全；临床价值

［Abstract］Objective To evaluate the clinical value of Nicergoline Injection treatment of cerebrovascular insufficiency. Methods Group selection 86 cases of vascular dysfunction neurology department from January 2015 to February 2016 in our hospital were divided into observation group of 43 cases and control group of 43 cases.The control group，receiving routine treatment，the observation group in addition to Nicergoline Injection，all patients were treated for 12 weeks.The clinical efficacy and adverse reactions of the two groups were observed and analyzed after 12 weeks of treatment.The VE、PI and VP were observed before and after treatment in patients with（MCV）and（AV）by Doppler.Results Compared with the Doppler results in the observation group were significantly improved（P＜0.05）；PI value was reduced（P＜0.05）；the clinical efficacy of the observation group was significantly enhanced（P＜0.05），adverse reactions was not easy occured（P＜0.05）.Conclusion In the foundation treatment and nicergoline injection to increase the treatment efficacy in patients with cerebral vascular insufficiency patients，improving cerebral artery blood flow in，and could be applied in clinical.

［Key words］Nicergoline；Cerebrovascular insufficiency；Clinical value

脑血管功能不全属于一种常见的持久性神经、认知功能发生障碍性疾病，在老年人群中其发病率较高。该病的形成由不同因素造成，临床表现为脑组织缺血、缺氧、脑血流低灌注，同时伴有头痛、头昏等一系列症状，严重时会使患者的思维迟钝、性情大改、痴呆、持续的认知障碍，患者更加容易发生脑卒［1］。……