CAJ | 학술논문

目的：探讨尼莫地平对高血压性脑出血术后患者的疗效。方法将84例高血压性脑出血术后患者随机分成治疗组和对照组，对照组进行常规治疗，治疗组在常规治疗的基础上予尼莫地平静滴，观察2组治疗后颅内血肿大小、血肿周边水肿体积及神经功能等变化并进行比较。结果治疗组与对照组比较，血肿和周边水肿体积明显减小（P＜0.05），神经功能缺损评分明显改善（ P＜0.05）。结论高血压性脑出血术后患者早期使用尼莫地平可进一步减轻脑水肿，促进脑血肿吸收，进一步改善神经功能。
목적：탐토니막지평대고혈압성뇌출혈술후환자적료효。방법장84례고혈압성뇌출혈술후환자수궤분성치료조화대조조，대조조진행상규치료，치료조재상규치료적기출상여니막지평정적，관찰2조치료후로내혈종대소、혈종주변수종체적급신경공능등변화병진행비교。결과치료조여대조조비교，혈종화주변수종체적명현감소（P＜0.05），신경공능결손평분명현개선（ P＜0.05）。결론고혈압성뇌출혈술후환자조기사용니막지평가진일보감경뇌수종，촉진뇌혈종흡수，진일보개선신경공능。
Objective To investigate the efficacy of nimodipine on hypertensive intracerebral hemorrhage. Methods 84 ca-ses with hypertensive cerebral hemorrhage were randomly divided into treatment group and control group ,control group re-ceived conventional treatment ,while the treatment group received nimotop infusion on the basis of conventional therapy. After treatment changes in the size of intracranial hematoma ,peripheral edema size ,neurological function and other volume were ob-served and compared.Results Compared with control group ,peripheral edema and hematoma volume of the treatment group significantly decreased (P<0.05) ,scores of neurological deficit significantly improved (P<0.01). Conclusion For patients with hypertensive cerebral hemorrhage ,early application of nimodipine can further reduce the cerebral edema ,promote absorp-tion of brain hematoma ,and further improve the neurological function.