高渗盐水和20%甘露醇治疗急性脑血管病的疗效对比  

作　　者：李志[1] 邹海军[1] 何伟峰[1] 

机构地区：[1]广东医学院附属三水医院急诊科,广东佛山528100

出　　处：《中外医疗》2011年第35期85-85,87,共2页China & Foreign Medical Treatment

摘　　要：目的探讨高渗盐水和20%甘露醇治疗急性脑血管病的疗效,以供临床参考。方法将我院63例急性脑血管疾病的患者随机分为2组。I组患者给予3%的高渗盐水治疗,II组患者给予20%甘露醇治疗,比较2组患者治疗后的神经功能缺失情况及患者肾功能和电解质变化。结果 I组患者无肾功能损害,血清电解质变化不明显。II组患者出现肾功能损害,电解质无变化。2组患者神经功能缺损均改善。结论 3%的高渗盐水资料急性脑血管病能取得较好的疗效,对患者肾脏功能无损害,是一种安全有效的治疗药物。Objective 20% of mannitol and hypertonic saline treatment of acute cerebrovascular disease treatment for clinical reference.Methods In our hospital in January 2007 to October 2010 treated 63 patients with acute cerebral vascular disease were randomly divided into two groups. Group I were treated with 3% hypertonic saline treatment, II group were treated with 20% mannitol treatment,two groups were compared after treatment of patients with neurological conditions and lack of renal function and electrolyte changes.Results Group I patients without renal dysfunction, serum electrolytes did not change significantly.Group II patients with impaired renal function,electrolytes unchanged.Two groups of patients with neurological deficits were improved.Conclusion 3% hypertonic saline information on acute cerebrovascular disease can achieve good effect on kidney function in patients with no damage, is a safe and effective treatments.

关 键 词：急性脑血管病 高渗盐水 甘露醇 

分 类 号：R651.12[医药卫生—外科学]