七叶皂苷钠联合甘露醇治疗脑出血临床观察  

作　　者：丁春琴[1] 郭民旺[1] 杨峰[1] 

机构地区：[1]江苏省泰兴市人民医院神经内科,225400

出　　处：《中国实用医药》2010年第2期42-44,共3页China Practical Medicine

摘　　要：目的观察脑出血早期应用七叶皂苷钠治疗的临床疗效。方法收集2000～2005年住院的急性脑出血患者92例,分为治疗组和对照组,进行疗效对比。结果治疗组和对照组的总有效率分别为81%和61%(P<0.05)。治疗组和对照组死亡率分别为1.7%和13%(P<0.05)。发病14d,治疗组血肿有所吸收,周围有轻微低密度区(水肿);对照组血肿吸收不明显,周围水肿明显。结论七叶皂苷钠能够促进血肿吸收,明显抑制脑水肿的发生、发展,并且显著缩短水肿带的消失时间,对脑出血急性期有明显疗效。Objective Observing the clinical curative effect of Sodium aescinate therapy in cerebral hemorrhage early. Methods Gathering the acute cerebral hemorrhage patients 92 cases between 2000 - 2005 in the hospital. Divided them into cure group and comparison group, then compared the effect. Result The effieient rates of the two groups were 81% and 61% （ P 〈 0. 05 ）. The death rates are 1.7 % and 13 %. In The first 14 days of illness onset, the patients＇hematomas were absorbed in the cure group, There was minor low-density area around （edema）. Compared to the comparison group, the bematoma contraction was unobvious, the edemas in around area were obvious. Conclusion Sodium aescinate can Promote hematoma absorption, control Cerebral edema come and worse obviously, and reduce the time of the edema area to disappear obviously. It has distinguished curative effect to cerebral hemorrhage in acute phase.

关 键 词：脑出血 治疗 七叶皂苷钠 甘露醇 

分 类 号：R743.3[医药卫生—神经病学与精神病学]