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尼莫地平治疗大面积脑栓塞的临床研究

Therapeutic Effect of Nimodipine on Acute Large Area Cerebral Embolism

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【作者】 冯玉兰于峻邵京山

【Author】 Feng Yulan Yu Jun Shao Jingshan (Department of Internal Medicine, Minghang District Central Hospital, Shanghai 201100)

【机构】 上海第二医科大学附属瑞金医院集团闵行医院内科上海第二医科大学附属瑞金医院集团闵行医院内科 上海201100上海201100上海201100

【摘要】 目的 :从临床上观察尼莫地平注射液对脑栓塞治疗的有效性和安全性。方法 :选择诊断明确的急性脑栓塞病人 72例 ,随机分为尼莫地平治疗组和常规治疗对照组 ,在治疗前、后 14d分别对临床疗效及颅CT作比较。结果 :尼莫地平治疗组临床疗效评定总有效率为 73.7% ,显效率为 5 5 .3% ,明显优于常规治疗组 (41.2 %、14 .7% ) ,两组比较有显著差异 (P <0 .0 1,P <0 .0 0 5 ) ;复查颅CT发现治疗组的梗死灶明显缩小。结论 :临床观察尼莫地平注射液疗效满意 ,是治疗脑栓塞有效且安全的药物

【Abstract】 Objective: To observe the clinical efficacy and safety of nimodipine infusion in the treatment of extensive cerebral embolism. Methods:54 cases of patient diagnosed with acute cerebral embolism were randomized into two groups: one receiving the therapy of nimodipine and another receiving routine therapy. The clinical condition and cerebral CT data before and after the treatment were compared between the two groups. Results:The total response rate and significant response rate in the nimodipine group were 73.7% and 55.3% respectively, that was absolutely better than those in the control group (41.2%and 14.7% respectively). There was statistically significant difference between the two groups ( P <0.01, P <0.005). The focus of infarction was found narrow by cerebral CT. Conclusion:Nimodipine infusion is effective and safe in treating patients with cerebral embolism.

  • 【文献出处】 中国临床医学 ,Clinical Medical Journal of China , 编辑部邮箱 ,2002年03期
  • 【分类号】R743.33
  • 【被引频次】16
  • 【下载频次】69
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