中华创伤杂志(英文版)
中華創傷雜誌(英文版)
중화창상잡지(영문판)
CHINESE JOURNAL OF TRAUMATOLOGY
2002年
2期
82-85
,共4页
陈礼刚%曾凡俊%杨立斌%柴建康%李开慧%卢敏%匡永勤
陳禮剛%曾凡俊%楊立斌%柴建康%李開慧%盧敏%劻永勤
진례강%증범준%양립빈%시건강%리개혜%로민%광영근
Head injuries%Ultrasonography,Doppler,transcranial%Hemorrheology%Brain mapping%Wilsonii injecta
Objective: To study the curative effect of wilsoniiinjecta on severe head injury (SHI).Methods: A total of 120 patients with SHI weredivided randomly into 2 groups, the patients treated withconventional methods as Group A (n = 60) and the patientstreated with wilsonii injecta as Group B (n = 60). Thechanges of neural function indexes were evaluated withGlasgow Coma Scale (GCS) before treatment and withGlasgow Outcome Scale ( GOS ) after treatment,simultaneously, the paramneters of hemorrheological indexes(HI), brain electrical activity map ( BEAM ) andtranscranial Doppler sonography (TCD) were observedbefore and after treatment.Results: In Group B, the clinical GCS, the HI, theBEAM and the prognosis GOS were improved much morethan those in Group A. And the TCD parameters in GroupB decreased, which had significant difference comparedwith that in Group A (P <0.01).Conclusions: Wilsonii injecta can rapidly improve theinjured persons' conscious states, the abnormal BEAM and the surviving quality. It suggests that the improvement of the HI is related to the relief of the vasospasm of thearterial blood vessels in the brain, which may be one of theimportant mechanisms of wilsonii injecta in improving theprognosis.