CAJ | 학술논문

目的：探讨纳洛酮对急性脑血管意识障碍患者的疗效。方法86例急性脑血管疾病意识障碍患者随机分为观察组与对照组，各43例，对照组予以常规治疗，观察组在对照组的基础上予以纳洛酮静滴。结果观察组治疗总有效率为90.7％，显著高于对照组的69.8％（ P＜0.05）；2组治疗后神经功能缺陷评分均显著降低，但观察组显著低于对照组（ P＜0.05）；格拉斯哥评分均显著提高，但观察组显著高于对照组（ P＜0.05）。结论常规治疗的基础上加用纳洛酮可提高急性脑血管意识障碍患者的治疗效果，改善患者的神经功能障碍及昏迷状态，值得推广应用。
목적：탐토납락동대급성뇌혈관의식장애환자적료효。방법86례급성뇌혈관질병의식장애환자수궤분위관찰조여대조조，각43례，대조조여이상규치료，관찰조재대조조적기출상여이납락동정적。결과관찰조치료총유효솔위90.7％，현저고우대조조적69.8％（ P＜0.05）；2조치료후신경공능결함평분균현저강저，단관찰조현저저우대조조（ P＜0.05）；격랍사가평분균현저제고，단관찰조현저고우대조조（ P＜0.05）。결론상규치료적기출상가용납락동가제고급성뇌혈관의식장애환자적치료효과，개선환자적신경공능장애급혼미상태，치득추엄응용。
Objective To investigate the curative effect of naloxone on acute cerebrovascular diseases patients with con‐sciousness disturbance. Methods Totally 86 acute cerebrovascular diseases patients with consciousness disturbance were ran‐domly divided into observation group (n=43 ,treated with convention method plus naloxone) and control group (n=43 ,trea‐ted with convention method). The curative effect of two groups were compared. Results The total effective rate of observation group (90.7% ) was higher than that of control group (69.8% ). Compared with control group ,observation group had lower neurological function deficits score and higher GCS score after treatment. Conclusion Convention method plus naloxone can in‐crease the curative effect of acute cerebrovascular diseases patients with consciousness disturbance ,and improve neurological disorders and narcosis of patients ,which is worthy of application.