本刊首页 > 期刊目次 > 小剂量糖皮质激素治疗脑出血迟发性脑水肿的疗效观察

• 文章 •

小剂量糖皮质激素治疗脑出血迟发性脑水肿的疗效观察

  • 刘春

* 通信作者: 刘春, 单位:

摘要


目的:观察分析使用小剂量糖皮质激素治疗脑出血迟发性脑水肿临床治疗效果。

方法:选取2012年4月-2016年4月经我院诊断并治疗的脑出血迟发性脑水肿患者82例,随机分为A组和B组,两组各41例;A组采用常规的药物治疗,B组采用小剂量糖皮质激素治疗;分别记录两组患者的脑出血后迟发性脑水肿的情况、血清纤维蛋白原(FIB)的水平及神经功能严重损伤的程度,并比较。

结果:记录两组患者的血清纤维蛋白原(FIB),

结果显示:治疗一周后两组的患者血清纤维蛋白具有明显的增高,治疗后第7天以及第14天的A组血清纤维蛋白明显高于B组的血清纤维蛋白;脑卒中评分量表(ESS)

结果显示:A组在治疗后第7天、第14天中脑卒中分量表明显低于B组。两组患者发生迟发性脑水肿情况,

结果显示:B组发生迟发性脑水肿患病率(4.87%)明显低于A组迟发性脑水肿患病率(21.95%),p<0.05,均具有统计学意义。

结论:使用小剂量糖皮质激素治疗脑出血迟发性脑水肿,临床效果显著,值得临床应用。

关键词:小剂量糖皮质激素;脑出血;迟发性脑水肿;临床效果

ABSTRACT

【 abstract 】 objective: to observe the analysis using small doses of glucocorticoid in treatment of delayed intracerebral hemorrhage brain edema clinical therapeutic effect.

Methods: choose 2012-2016, April 4 menstrual our hospital diagnosis and treatment of 82 cases of patients with cerebral hemorrhage of late-onset cerebral edema, were randomly divided into group A and group B, two groups of 41 cases; The conventional drug treatment of group A, group B with small dose of glucocorticoid treatment; Record of two groups of patients with late-onset cerebral edema after cerebral hemorrhage, the levels of serum fibrinogen (FIB) and nerve function damage degree, and compare.

Results: the records of two groups of patients with serum fibrinogen (FIB), the results showed: A week after the two groups of patients treated serum protein fiber has obvious increase, 7th day and 14th day after treatment group A fibrous protein significantly higher than that of group B serum fibrin; Rating scale (ESS) results showed that cerebral apoplexy in 7 days, 14 days after treatment group A midbrain subscales of stroke was lower than that in group B. Late-onset cerebral edema happens to two groups of patients, the results showed: group B occur late-onset incidence of cerebral edema (4.87%) was lower than that in group A, late-onset incidence of cerebral edema (21.95%), p < 0.05, all statistically significant.

Conclusion  : using small doses of glucocorticoid in treatment of delayed intracerebral hemorrhage brain edema, clinical effect is significant, worthy of clinical application.

Key words: small doses of corticosteroids; Cerebral hemorrhage; Late-onset brain edema; Clinical effect

引用本文 / How to Cite This Article

刘春.小剂量糖皮质激素治疗脑出血迟发性脑水肿的疗效观察[J]. 国际精神病学杂志, , (): -

参考文献

相关文章