早期应用三七总皂甙对脑出血的治疗

The Analysis of the early Application of total panax Notoginseng Saponins to treat Cerebral Hemorrhage

目的观察早期应用三七总皂甙对脑出血的治疗效果。方法选取从2010年1月——2013年1月所收治的脑出血患者150例作为临床研究对象分为实验组和对照组两组,均进行吸氧、降颅内压、降低血压、营养神经和维持水电解质平衡等对症治疗。实验组在此基础上,在发病48h后采用三七总皂甙进行治疗,并观察两组疗效和死亡率。结果实验组的总有效率为94.7%,死亡率为4.0%;对照组的总有效率为77.3%,死亡率为10.7%。两组比较,总有效率和死亡率的差异有统计学意义(P【0.05)。结论早期应用三七总皂甙可以促进血肿与脑水肿吸收,显著提高脑出血患者的生活质量,且安全可靠。

Objective To observe the therapeutic effect of treating cerebral hemorrhage with total panax notoginseng saponins. Methods Patients who have been treated from January,2010 to January,2013 in our hospital for cerebral hemorrhage were selected as research objects,and they were divided into experimental group and control group. Oxygen Inhalation,reducing intracranial pressure,lowering blood pressure,neurotrophic treatment,maintaining water and electrolyte balance,and some oth- er symptomatic treatments were given to two groups. On this basis,experimental group was treated with total panax notoginseng saponins 48 hours after attack. Curative effect and mortality of the two groups were observed. Results By comparison,variation of total effective rate and mortality in the two groups had statistical significance( P < 0. 05) . Conclusion The early application of total panax notoginseng saponins can accelerate the absorption of hematoma and cerebral edema,and improve the living quality of patients with cerebral hemorrhage. Total panax notoginseng saponins,which is safe and reliable,is worthy of application and promotion in clinic.