首页|盐酸法舒地尔和甘露醇联合治疗颅脑肿瘤术后脑水肿的临床疗效观察

盐酸法舒地尔和甘露醇联合治疗颅脑肿瘤术后脑水肿的临床疗效观察

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目的 探讨颅脑肿瘤术后脑水肿患者应用盐酸法舒地尔联合甘露醇治疗的临床疗效.方法 本文选取2015年5月~2016年10月就诊首都医科大学附属北京朝阳医院进行治疗的76例颅脑肿瘤术后脑水肿患者为研究对象,根据给药不同均分为对照组与观察组,,每组各38例.对照组给予甘露醇治疗,观察组给予盐酸法舒地尔联合甘露醇治疗.比较两组的治疗有效率、神经功能评分、脑水肿面积及不良反应等.结果 观察组经联合治疗的总有效率(97.37%)明显高于单纯用药对照组(78.95%),组间比较差异显著(P<0.05);观察组治疗后的神经功能评分(10.05±1.78)分与脑水肿面积(21.06±2.51)cm3明显低于对照组(13.36±2.02)分、(27.09±3.75)cm3,组间数据比较差异均具有统计学意义(P<0.05);观察组治疗后的不良反应发生率(2.63%)与对照组(5.26%)比较差异无统计学意义.结论 盐酸法舒地尔联合甘露醇治疗颅脑肿瘤术后脑水肿的效果较显著,优于单纯用药治疗,且降低了患者的脑水肿面积及神经功能评分,建议在颅脑肿瘤术后脑水肿治疗中推广使用.
Observation on the effect of fasudil hydrochloride combined with mannitol on the treatment of the patients with brain edema after brain tumor operation
Objective To investigate the clinical efficacy of fasudil hydrochloride combined with mannitol on the treatment of the patients with cerebral edema after brain tumor operation. Methods In this study, 76 patients with brain edema after brain tumor operation from May 2015 to October 2016 were were divided into the control group and the observation group according to different administration, 38 cases in each group.The control group was treated with mannitol and the observation group was treated with fasudil hydrochloride combined with mannitol. Comparison of the two groups of treatment efficiency, neurological score, brain edema area and adverse reactions. Results The total effective rate 97.37% in the observation group was significantly higher than 78.95% in the control group(P<0.05).The level of neurological function was (10.05 ± 1.78) points and brain edema was (21.06±2.51) cm3in the observation group which were significantly lower than those in the control group (13.36±2.02), (27.09 ±3.75) cm3(P<0.05). The incidence of adverse events (2.63%) in the observation group was not significantly different from that in the control group (5.26%). Conclusion The effect of fasudil hydrochloride combined with mannitol on cerebral edema after brain tumor operation is more remarkable than that of simple treatment, and the brain edema area and neurological function score of patients are reduced. Therefore, the therapeutic regimen can be the recommended for clinical application..

fasuril hydrochloridepost-operative brain tumorbrain edemamannitol

杨新乾

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首都医科大学附属北京朝阳医院 神经外科 ,北京 100020

盐酸法舒地尔 颅脑肿瘤术后 脑水肿 甘露醇

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(8)
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