微创穿刺抽吸加低温纳洛酮灌洗治疗脑出血的临床研究  

Clinical Study of Tiny Wound Puncture Combined with Lavaging of Microtherm Naloxone in Treatment of Cerebral Hemorrhage

作　　者：尹浩军[1] 

机构地区：[1]武警湖北总队医院神经内科,武汉430060

出　　处：《临床急诊杂志》2002年第1期12-13,共2页Journal of Clinical Emergency

摘　　要：目的:探讨微创穿刺抽吸加低温大剂量纳洛酮灌洗治疗脑出血的可行性及疗效。方法:对38例脑出血病人行微创穿刺抽吸加低温纳洛酮灌洗,以既往38例脑出血病人作对照组,比较两组病人的治疗总有效率、死亡率及治疗前后神经功能缺损评分。结果;治疗组总有效率为81.59%,与对照组比较有显著性差异。治疗组于治疗后第1d神经功能缺损评分即见明显减少,与对照组比较,不同时期神经功能缺损评分有显著性差异(P<0.05)。结论:微创穿刺抽吸加大剂量低温纳洛酮灌洗治疗脑出血可明显降低死亡率,提高生存质量,方法简单,疗效显著。Purpose:To discuss the feasibility and effect of tiny wound puncture combined with lavaging of microtherm naloxone in treatment of cerebral hemorrhage. Methods: 38 cases of cerebral hemorrhage were treat-ed with puncture and lavage( treated group) .Another 38 cases were treated with medicine (controlled group) . Then compared the two groups mortality, total effective rate and the mark of neural defects before and after treatment.Results:The total effective rate of treated was 81.59% .The mark of neural defects in the treated group was obviously decreased in the first day.The difference between 2 groups was significant( P < 0.05) . Conclusion; The treatment of tiny wound puncture combined with lavaging of naloxone can reduce mortality and enhance living quality.The method was simple and the effect was evident.

关 键 词：微创穿刺 纳洛酮 脑出血 低温灌洗 血肿清除 

分 类 号：R743.340.5[医药卫生—神经病学与精神病学]