尼莫地平治疗高血压脑出血术后患者疗效观察

Clinical effect of nimodipine on postoperational patients with hypertensive intracerebral hemorrhage

目的:探讨尼莫地平治疗高血压脑出血术后患者的临床效果。方法:将60例高血压脑出血术后患者分治疗组和照组各30例,治疗组在术后6小时开始泵点尼莫地平并持续14天。盲法对两组患者进行治疗前后功能评分并分析。结果:治疗组27例存活,3例死亡;存活病人中恢复良好19例,重残6例,植物生存2例;有效率为83.33%。尼莫地平治疗组临床效果显著优于对照组。结论:尼莫地平治疗高血压脑出血术后患者是安全有效,降低死亡率,提高了患者生存率和生活质量。

Objective： To observe the effect of nimodipine on postoperational patients with hypertensive intracerebral hemorrhage. Methods： 60 of patients were divided into group of control and group of nimodipine treatment, all patients were observed by clinical curative effect. Nimodipine was performed with nimodipine group within 6h after operation and last 14d. Assessment of clinical curative effect were used by blind analysis. Results： After treatment, there were mild and moderate disability in 18 cases, severe disability in 6 cases, vegetative state in 2 and death in 3 cases in nimodipine treatment group. Good recover rate was 83.33% in nimodipine treatment group. The clinical curative effect in treatment group were significantly better than in the control group. Conclusion.. Nimodipine is safe and effective for preventing the postoperational patients with hypertensive intracerebral hemorrhage from brain damage, reducing the mortality and improving the survival rate and life quality.