CAJ | 학술논문

目的：探讨吡拉西坦注射液联合甘露醇治疗脑出血后脑水肿的疗效。方法选自本院2013年7月～2014年7月收治64例脑出血后脑水肿患者，采用随机抽样法分为两组，予对照组32例甘露醇治疗，予观察组32例吡拉西坦注射液联合甘露醇治疗，比较两组疗效。结果两组治疗8d、20d后脑水肿体积均缩小，但观察组脑水肿体积在8d、20 d时均小于对照组，比较差异具有统计学意义（P＜0.05）；且两组均未发生严重不良反应（P＞0.05）。结论吡拉西坦注射联合甘露醇能够有效治疗脑出血后脑水肿。
목적：탐토필랍서탄주사액연합감로순치료뇌출혈후뇌수종적료효。방법선자본원2013년7월～2014년7월수치64례뇌출혈후뇌수종환자，채용수궤추양법분위량조，여대조조32례감로순치료，여관찰조32례필랍서탄주사액연합감로순치료，비교량조료효。결과량조치료8d、20d후뇌수종체적균축소，단관찰조뇌수종체적재8d、20 d시균소우대조조，비교차이구유통계학의의（P＜0.05）；차량조균미발생엄중불량반응（P＞0.05）。결론필랍서탄주사연합감로순능구유효치료뇌출혈후뇌수종。
Objective To discuss the effect of piracetam injection combined with mannitol in the treatment of cerebral edema after intracerebral hemorrhage. Methods 64 cases of cerebral edema after intracerebral <br> hemorrhage patients in July 2013~2014 July in our hospital were divided into two groups by random sampling, 32 cases in the control group were treated with mannitol, 32 cases in observation group were treated with piracetam injection combined with mannitol therapy, compared the effect between two groups. Results After treatment for 8 d, 20 d, cerebral edema volume were reduced, but the cerebral edema volume in 8 d and 20 d in observation group were less than the control group, the difference had statistically signiifcant (P<0.05), not serious adverse event soccurred in two groups (P>0.05) . Conclusion Piracetam injection combined with mannitol are effective treatment for cerebral edema after intracerebral hemorrhage.