银杏叶与尼莫地平合用治疗蛛网膜下腔出血临床观察及护理

The Clinical Observation and Nusing of Nimodipine Combination with Ginkgo Biloba to Treat SAH

[目的]观察尼莫地平与银杏叶联合用药治疗蛛网膜下腔出血(SAH)的疗效及其护理体会。[方法]选择SAH 111例,随机分为观察组58例和对照组53例。对照组采用脱水降颅压、止血和对症支持等常规治疗;观察组在上述治疗基础上加用尼莫地平和银杏叶联合治疗。[结果]观察组痊愈45例(77.6%),有效10例(17.2%),死亡3例(5.2%),总有效率94.8%;对照组痊愈35例(66.0%),有效5例(9.4%),无效13例(2.2%),总有效率69.0%。两组总有效率比较,差异显著(P<0.05)。[结论]良好的基础护理与用药护理结合下、尼莫地平与银杏叶联合用药治疗SAH疗效较好。

[ Objective ] To observe the nimodipine combination with ginkgo biloba to treat subarachnoid hemorrhage （SAH） and the efficacy of Nursing. [ Methods] SAH 111 cases, 58 cases were randomly divided into observation group, and the control group were 53 cases. The control group were dehydrated reducing the intracranial pressure, bleeding, and symptomatic support routine treatment ; the observation group on the basis of the above -mentioned treatment was added nimodipine and ginkgo biloba combination therapy. [ Results The observation group cured 45 cases （77.6%） , effective 10 cases （ 17.2% ） , died 3 cases （5.2%） , the total effective rate 94.8% ; the control group cured 35 cases （66.0%） , effective 5 cases （9.4%） , ineffec- tive 13 cases （2.2%） , the total effective rate 69.0%. The total effective between two groups, the difference was significant （P 〈 0.05 ）. [ Cortclusion] On the base of nursing care and medication, nimodipine combined with Ginkgo biloba to treat SAH have better effect.