银杏叶制剂治疗老年人急性脑出血临床研究

Clinical Observation on Acute Itracerebral Hemorrhage in Older Patients with Ginaton

目的:探讨急性脑出血的治疗新方法,依据中医活血化瘀的原理,采用银杏制剂—金钠多治疗老年人急性脑出血38例,并与同期传统方法治疗的老年人急性脑出血35例对照以比较观察其效果.方法:两组病人轻重、血肿大小,年龄相似(p>0.05),均采用常规治疗,其他对症治疗相同.治疗组则在发病后第3天采用0.85%生理盐水250ml加入金钠多87.5mg静点18天,每日1次.治疗前及治疗两周后均用CT头颅扫描以对比血肿吸收情况,并作神经功能缺损评分对比疗效.结果:治疗组血肿吸收速度优于对照组(p<0.02),神经功能缺损评分治疗组优于对照组(p<0.05)结论:银杏制剂可以明显改善脑出血病灶侧血管痉挛,加速血肿吸收,减轻脑水肿,加快康复,降低致残程度.银杏叶制剂用于老年人中小量急性脑出血较为安全、有效、副作用少,值得推广应用.

Objective: To determine the effects of hemorheology with Ginadon Therapy in acute cerebral hemorrhage . Methods: In 38 older patients with acute cerebral hemorrhage therapy in Ginaton Groups and 35 cases in control groups and then analysis in hemorheology. Results: Ginaton may promote absorption of blood clot, improve microcirculation, and decrease blood viscosity, CT scan disposal results are better than control groups. Conclusion: Ginaton may be safely used in moderate or small quantity of acute cerebral hemorrhage and mixed apoplexy.