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时间:2020-06-16
《尼莫地平联合脑脊液置换治疗蛛网膜下腔出血疗效研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、尼莫地平联合脑脊液置换治疗蛛网膜下腔出血疗效研究李玻,杨勇,陈达健,黄云(海南省三亚市人民医院神经外科572000)【摘要】目的探讨尼莫地平联合脑脊液置换治疗蛛网膜下腔出血(SAH)的疗效。方法将122例SAH患者分成观察纽和对照组,每组各61例。对照组采用尼莫地平常规治疗,观察纽患者在对照纽基础上加以脑脊液置换治疗结果观察组左大脑前动脉(ACA)、右ACA、左大脑中动脉(MCA)、右MCA收缩峰流速值均高于对照组(P2、治疗SAH,能及时清除蛛网膜下腔积血,改善脑部血液循环,降低不良反应发生率,提高患者生存质量。【关键词】尼莫地平;脑脊液置换;蛛网膜下腔出血DoI:10.3969/J.issn.1672—9455.2014.17.022文献标志码:A文章编号:1672—9455(2014)l7-2394—03EfficacyofnimodipinecombinedwithcerebrospinalfluidreplacementintreatmentofsubarachnoidhemorrhageLIBo。YANGYong,CHENDa—jian,HUANGYun(DepattmentofNeur3、osurgery,SanyaPeopleHospital,San—ya,Hainan572000,China)[Abstract]ObjectiveToinvestigatetheclinicaleffectofnimodipinecombinedwithcerebrospinalfluid(CSF)replacementintreatmentofsubarachnoidhemorrhage(SAH).MethodsAtotalof122patientswithSAHweredi—videdintocontrolgroup(61cases)receivingconventional4、nimodipinetherapy,andobservationgroup(61cases)re—ceivingnimodipinecombinedwithCSFreplacement.ResultsThesystolicpeakflowvelocityofleftandrightanteriorcerebralartery(ACA),andleftandrightmiddlecerebralartery(MCA)inobservationgroupweresignificantlyhigh—erthanthoseofcontrolgroup(P5、nrateofmeningealstimulationresponseofobservationgroupwassignificantlyhigherthancontrolgroup(P%0.05).Theincidenceratesofvascularspasm,hydrocephalusandre—bleedinginobservationgroupweresignificantlylowerthancontrolgroup(P6、vesubarachnoidhematocelequickly,improvethebrainbloodcirculation,reducetheincidencerateadverseeffect,andimprovethequalityoflifeofpatients.[Keywords]nimodipine;cerebrospinalfluidreplacement;subarachnoidhemorrhage蛛网膜下腔出血(SAH)是由多种病因导致脑底部或脑及期妇女;(2)心源性及其他因素(如感染、血液病、免疫因素等)脊髓表面血管破裂,血液流入蛛网膜下腔导致的出血性脑血管引7、起的或不明原因引起的SAH患者。所有纳入的患者均在病]。手术或介入栓塞治疗能及时清除凝血块,缓解及降低血SAH发病后3d内人院治疗。按随机数字表法将122例SAH管痉挛严重程度,是治疗SAH的金标准方法,但对于缺乏手患者分为对照组和观察组。对照组患者61例,男4O例、女21术适应证的患者,仍以内科治疗为主l2]。内科治疗SAH的关例;年龄31~69岁,平均(52.1±14.9)岁;大脑前动脉26例,键在于清除脑积液、缓解脑血管痉挛、防范再出血等。关于尼大脑中动脉16例
2、治疗SAH,能及时清除蛛网膜下腔积血,改善脑部血液循环,降低不良反应发生率,提高患者生存质量。【关键词】尼莫地平;脑脊液置换;蛛网膜下腔出血DoI:10.3969/J.issn.1672—9455.2014.17.022文献标志码:A文章编号:1672—9455(2014)l7-2394—03EfficacyofnimodipinecombinedwithcerebrospinalfluidreplacementintreatmentofsubarachnoidhemorrhageLIBo。YANGYong,CHENDa—jian,HUANGYun(DepattmentofNeur
3、osurgery,SanyaPeopleHospital,San—ya,Hainan572000,China)[Abstract]ObjectiveToinvestigatetheclinicaleffectofnimodipinecombinedwithcerebrospinalfluid(CSF)replacementintreatmentofsubarachnoidhemorrhage(SAH).MethodsAtotalof122patientswithSAHweredi—videdintocontrolgroup(61cases)receivingconventional
4、nimodipinetherapy,andobservationgroup(61cases)re—ceivingnimodipinecombinedwithCSFreplacement.ResultsThesystolicpeakflowvelocityofleftandrightanteriorcerebralartery(ACA),andleftandrightmiddlecerebralartery(MCA)inobservationgroupweresignificantlyhigh—erthanthoseofcontrolgroup(P5、nrateofmeningealstimulationresponseofobservationgroupwassignificantlyhigherthancontrolgroup(P%0.05).Theincidenceratesofvascularspasm,hydrocephalusandre—bleedinginobservationgroupweresignificantlylowerthancontrolgroup(P6、vesubarachnoidhematocelequickly,improvethebrainbloodcirculation,reducetheincidencerateadverseeffect,andimprovethequalityoflifeofpatients.[Keywords]nimodipine;cerebrospinalfluidreplacement;subarachnoidhemorrhage蛛网膜下腔出血(SAH)是由多种病因导致脑底部或脑及期妇女;(2)心源性及其他因素(如感染、血液病、免疫因素等)脊髓表面血管破裂,血液流入蛛网膜下腔导致的出血性脑血管引7、起的或不明原因引起的SAH患者。所有纳入的患者均在病]。手术或介入栓塞治疗能及时清除凝血块,缓解及降低血SAH发病后3d内人院治疗。按随机数字表法将122例SAH管痉挛严重程度,是治疗SAH的金标准方法,但对于缺乏手患者分为对照组和观察组。对照组患者61例,男4O例、女21术适应证的患者,仍以内科治疗为主l2]。内科治疗SAH的关例;年龄31~69岁,平均(52.1±14.9)岁;大脑前动脉26例,键在于清除脑积液、缓解脑血管痉挛、防范再出血等。关于尼大脑中动脉16例
5、nrateofmeningealstimulationresponseofobservationgroupwassignificantlyhigherthancontrolgroup(P%0.05).Theincidenceratesofvascularspasm,hydrocephalusandre—bleedinginobservationgroupweresignificantlylowerthancontrolgroup(P6、vesubarachnoidhematocelequickly,improvethebrainbloodcirculation,reducetheincidencerateadverseeffect,andimprovethequalityoflifeofpatients.[Keywords]nimodipine;cerebrospinalfluidreplacement;subarachnoidhemorrhage蛛网膜下腔出血(SAH)是由多种病因导致脑底部或脑及期妇女;(2)心源性及其他因素(如感染、血液病、免疫因素等)脊髓表面血管破裂,血液流入蛛网膜下腔导致的出血性脑血管引7、起的或不明原因引起的SAH患者。所有纳入的患者均在病]。手术或介入栓塞治疗能及时清除凝血块,缓解及降低血SAH发病后3d内人院治疗。按随机数字表法将122例SAH管痉挛严重程度,是治疗SAH的金标准方法,但对于缺乏手患者分为对照组和观察组。对照组患者61例,男4O例、女21术适应证的患者,仍以内科治疗为主l2]。内科治疗SAH的关例;年龄31~69岁,平均(52.1±14.9)岁;大脑前动脉26例,键在于清除脑积液、缓解脑血管痉挛、防范再出血等。关于尼大脑中动脉16例
6、vesubarachnoidhematocelequickly,improvethebrainbloodcirculation,reducetheincidencerateadverseeffect,andimprovethequalityoflifeofpatients.[Keywords]nimodipine;cerebrospinalfluidreplacement;subarachnoidhemorrhage蛛网膜下腔出血(SAH)是由多种病因导致脑底部或脑及期妇女;(2)心源性及其他因素(如感染、血液病、免疫因素等)脊髓表面血管破裂,血液流入蛛网膜下腔导致的出血性脑血管引
7、起的或不明原因引起的SAH患者。所有纳入的患者均在病]。手术或介入栓塞治疗能及时清除凝血块,缓解及降低血SAH发病后3d内人院治疗。按随机数字表法将122例SAH管痉挛严重程度,是治疗SAH的金标准方法,但对于缺乏手患者分为对照组和观察组。对照组患者61例,男4O例、女21术适应证的患者,仍以内科治疗为主l2]。内科治疗SAH的关例;年龄31~69岁,平均(52.1±14.9)岁;大脑前动脉26例,键在于清除脑积液、缓解脑血管痉挛、防范再出血等。关于尼大脑中动脉16例
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