Volume 23 Issue 7
Jul.  2025
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ZHANG Dian, HAN Ruodong, LI Bing, GUO Zhiyi. Clinical study of edaravone dexborneol combined with argatroban in the treatment of acute ischemic stroke[J]. Chinese Journal of General Practice, 2025, 23(7): 1148-1151. doi: 10.16766/j.cnki.issn.1674-4152.004085
Citation: ZHANG Dian, HAN Ruodong, LI Bing, GUO Zhiyi. Clinical study of edaravone dexborneol combined with argatroban in the treatment of acute ischemic stroke[J]. Chinese Journal of General Practice, 2025, 23(7): 1148-1151. doi: 10.16766/j.cnki.issn.1674-4152.004085

Clinical study of edaravone dexborneol combined with argatroban in the treatment of acute ischemic stroke

doi: 10.16766/j.cnki.issn.1674-4152.004085
Funds:

 2022AH050688

  • Received Date: 2024-05-04
  •   Objective  To explore the clinical efficacy, neurological function, inflammatory levels, and free radical levels of edaravone dexborneol combined with argatroban in patients with acute ischemic stroke (AIS).  Methods  A total of 80 patients with AIS admitted to Bozhou People ' s Hospital from January 2022 to December 2023 were selected and divided into the control group (40 cases) and treatment group (40 cases) based on the random number method. The control group was given argatroban and the treatment group was given argatroban combined with edaravone dexborneol. The clinical efficacy, related scale scores, serum inflammatory factors, free radicals and the occurrence of adverse reactions were compared between the two groups.  Results  After treatment, the total efficacy rate for the treated group was significantly better than the achieved by the control group [95.0% (38/40) vs. 80.0% (32/40), P < 0.05]. After 2 weeks of treatment, the NIHSS score and modified Rankin score in the treatment group were lower than those in the control group, while the Barthel index score was higher than that in the control group (P < 0.05). The levels of hypersensitive C-reactive protein, interleukin-1β, interleukin-6, and tumor necrosis factor-α in the treatment group were lower than those in the control group (P < 0.05). The levels of malondialdehyde and reactive oxygen species in the treatment group were lower than those in the control group, while the level of superoxide dismutase was higher than that in the control group (P < 0.05). The difference in the incidence of adverse reactions between the two groups was not statistically significant (P>0.05).  Conclusion  Edaravone dexborneol combined with argatroban significantly improves the clinical efficacy of AIS, effectively promotes the recovery of neurological function, improves the quality of daily life of patients, inhibits the expression of inflammatory factors, and reduces the level of serum free radicals.

     

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