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尼莫地平治疗创伤性蛛网膜下腔出血23例疗效观察 被引量:4

THE CLINICAL EFFECACY OF NIMOCLIPINE IN THE TREATMENT OF TRAUMATIC SUBARACHNOID HEMORRHAGE
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摘要 为观察尼莫地平对创伤性蛛网膜下胜出血(t-SAH)的治疗作用,作者将45例患者随机分为常规治疗组(n=22)和常规加尼莫地平治疗组(n=23),所有患者均行颅内压(ICP)监护并按国际GOS预后评分标准进行疗效判定。结果预后不良者在常规治疗组中占59%,而在尼莫地平组仅占26%(P<0.05),两组ICP变化则无显著性差异(P>0.05)。研究结果显示,应用尼莫地平治疗t-SAN能明显降低死残率,改善预后,且对ICP无明显影响。 To observe the clinical effects of nimodipine on treatment of traumatic subarachnoid hemorrhage (t - SAH), 45patients were divided randomly into 2 groups: routine treatment grpup(n = 22) and routine plus nimodipine treatment group(n = 23). The ICP changes were monitored and GOS was used to assesed the patient's outcome. The results showed the outcome was unfavourable in 54. 5% of routine treatment patients compared to 30. 4% of nimodipine treatment patients(P < 0. 01 ), but no statishcally significant diffevence in ICP change between the two groups . The results suggst that treatmnt for t - SAH with nimodipine can significantly reduced the unfavourable outcome. but without marked influence on ICP.
出处 《广东医学》 CAS CSCD 1997年第10期657-658,共2页 Guangdong Medical Journal
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