微创颅内血肿清除术联合脑苷肌肽对脑出血的疗效观察

Reserch of the effect of cattle encephalon glycoside and ignotin injection after minimally access surgery for cerebral hemorrhage

目的:观察微创颅内血肿清除术后用脑苷肌肽治疗脑出血的临床疗效。方法:将70例脑出血患者随机分为治疗组(n=40)和对照组(n=30),两组患者入院后常规给予脱水、止血、微创颅内血肿清除术等处理。在此基础上,治疗组给予脑苷肌肽注射液20 ml加入5%葡萄糖液250 ml中静脉点滴,1次·d-1,连用28 d。观察比较两组患者的觉醒时间、GCS评分和神经功能缺损评分的变化。结果:治疗组患者觉醒时间明显早于对照组,治疗组患者GCS评分、神经功能缺损评分明显高于对照组(均P<0.05)。结论:微创血肿清除术联合脑苷肌肽治疗脑出血疗效好,值得推广使用。

Objective： To analyse the effect of cattle encephalon glycoside and ignotin injection after minimally access cleaning surgery for cerebral hemorrhage. Methods： Seventy cases of cerebral hemorrhage were randomly divided into treatment group （ n = 40 ） and control group （ n = 30 ）. Patients in 2 groups were given routine dehydration, hemostasis, hematoma cleaning surgery and other processing. On this foundation, the treatment group were treated with cattle encephalon glycoside and ignotin injection （20 ml in 250 ml 5% glucose solution） by intravenous drip, once a day, for 28 days. Awakening time, changes of GCS score, neural function defect score of the patients in two groups were observed. Result： The awakening time of the treatment group patients was shorter than that of control group and changes of GCS score, neural function defect score after treatment were significantly better than those of control group （ all P 〈 0.05 ）. Conclusion： Minimally invasive evacuation of hematoma combined with cattle encephalon glycoside and ignotin injection in treatment of cerebral hemorrhage have a good curative effect and is worth popularizing.