尼莫地平治疗蛛网膜下腔出血后脑血管痉挛的临床疗效研究

目的:探讨尼莫地平治疗蛛网膜下腔出血(SAH)后脑血管痉挛(CVS)的临床效果。方法:选择蛛网膜下腔出血患者80例,随机分为两组各40例。对照组采用脱水止血等常规治疗,观察组在此基础上加用尼莫地平治疗。结果:观察组脑血管痉挛的发生率、再出血发生率、病死率低于对照组(P<0.05)。结论:尼莫地平防治蛛网膜下腔出血后脑血管痉挛疗效确切。

Objective： To investigate the effects of nimodipine in treatment of subarachnoid hemorrhage （SAH） and cerebral vas- cular spasm （ CVS ） clinical effect. Methods： Patients with subarachnoid hemorrhage in 80 eases, were randomly divided into the observation group and control group with 40 cases in each group. The control group adopted conventional dehydration hemostatic treatment, the observation group in the conventional treatment with nimodipine in the treatment of. Results： after one month, the observation group the incidence of vasospasm, rebleeding incidence, fatality rate is lower than that of control group （ P 〈0.05）. Conclusion： the protective effect of nimodipine on cerebral vascular spasm after subarachnoid hemorrhage curative effect.