应用尼莫通及缓慢放脑脊液治疗蛛网膜下腔出血的疗效分析  

Capital Words Clincal Study on Treatment for Subarachnoid Hemorrhage with Nimotop Change of CSF

作　　者：邹洪胜 张昌莲[1] 

机构地区：[1]泰山医学院附属荣成市人民医院重症监护科,山东荣成264300

出　　处：《中国医药指南》2012年第15期152-153,共2页Guide of China Medicine

摘　　要：目的观察分析在应用尼莫通及缓慢放脑脊液,对蛛网膜下腔出血并高血压治疗效果。方法治疗组77例(原发性46例,继发性31例),蛛网膜下腔出血并高血压应用尼莫通及缓慢放脑脊液,对照组单纯应用脱水降颅压、止血剂、管理血压治疗相比较。结果治疗组明显优于对照组(P<0.05),明显减少了脑血管痉挛和梗阻性脑积水发生率、可显著降低脑疝的形成,减少了中枢神经系统的损害和后遗症的发生,也明显降低了病死率。结论应用尼莫通及缓慢放脑脊液治疗蛛网膜下腔出血并高血压者疗效显著,可以采用。Objective To observe the clinical effect of Nimotop,vifenine change of CSF（cere brospinal fluid） on treatment of Subarachnoid hemorrhage（SAH） complicates hypertension.Methods The subjects were divided into 2groups,the experiment one and the control one,The former was composed of 77 cases,Who were treated with Nimotop and vifamine change of CSF,the latter cases used dehy drant to reduce cerebro pressure and cogulant.Results We compared the incidence of cerebral vessels spasm and obstructive my docephalus,the death rate,the nerve injury of two groups.We found all the indexes of the former much lower than those of the latter P0.05.Conclusions Nimotop and vifamine change of CSF used in SAH shoes effective characters.It also can be applied to clinical treatment.

关 键 词：尼莫通 缓慢放脑脊液 蛛网膜下腔出血 脑血管痉挛 

分 类 号：R743.34[医药卫生—神经病学与精神病学]