法舒地尔防治蛛网膜下腔出血并发脑血管痉挛临床疗效分析

Clinical analysis of cerebral angio spasm after aneurysm rupture subarachnoid hemorrhage by Fasudil

目的 探讨法舒地尔防治动脉瘤破裂蛛网膜下腔出血后脑血管痉挛的临床疗效.方法 采用回顾性分析的方法,动脉瘤破裂蛛网膜下腔出血后脑血管痉挛患者临床资料,依据治疗方式不同分为观察组和对照组.结果 观察组患者治疗后GCS评分明显优于对照组;观察组患者治疗后大脑中动脉平均血流速度明显低于对照组（P＜0.05）.观察组患者治疗后致残率、病死率均低于对照组（P＜0.05）.结论 法舒地尔联合常规治疗动脉瘤破裂蛛网膜下腔出血后脑血管痉挛临床疗效明显,预后良好,值得临床推广应用.

Objective To explore the clinical curative effect of cerebral angio spasm after aneurysm rupture subarachmoid hemorrhage by Fasudil, Methods The clinical data of cerebral angio spasm after aneurysm rupture subarachnoid hemorrhage were retrospectively analyzed, which was divided into detection group and control group.Results The GCS score of detection group was better than control group;the average blood flow rate of arteria cerebri media after curing in detection group the difference had statistical significance（ all P ＜0. 05 ）. The mutilation rate、rate of death of detection group were lower than control goup, the difference had statistical significance （ P ＜ 0. 05 ）.Conclusion The clinical curative effect was good of cerebral angio spasm after aneurysm rupture subarachnoid hemorrhage by Fasudil, and prognosis was good.