CAJ | 학술논문

目的：探讨尼莫地平和前列地尔治疗脑外伤术后脑血管痉挛的临床效果。方法随机选取我院2009年10月-2013年12月接治的79例脑外伤患者，其中包括接受尼莫地平治疗脑血管痉挛的患者39例，作为实验组；另外40例接受前列地尔治疗，作为对照组。运用多普勒检查颅内大脑前动脉、大脑中动脉和大脑后动脉的收缩峰速度，并对两组结果做对比分析。结果实验组的痊愈率、死亡率以及三大主要动脉的收缩峰速度与对照组比较均具有显著性差异（P＜0.05）。结论尼莫地平能够较好地预防和治疗脑外伤手术后产生的脑血管痉挛，且临床治疗效果显著。
목적：탐토니막지평화전렬지이치료뇌외상술후뇌혈관경련적림상효과。방법수궤선취아원2009년10월-2013년12월접치적79례뇌외상환자，기중포괄접수니막지평치료뇌혈관경련적환자39례，작위실험조；령외40례접수전렬지이치료，작위대조조。운용다보륵검사로내대뇌전동맥、대뇌중동맥화대뇌후동맥적수축봉속도，병대량조결과주대비분석。결과실험조적전유솔、사망솔이급삼대주요동맥적수축봉속도여대조조비교균구유현저성차이（P＜0.05）。결론니막지평능구교호지예방화치료뇌외상수술후산생적뇌혈관경련，차림상치료효과현저。
Objective Discusses nimodipine , clinical effect for the treatment of cerebral vasospasm after traumatic brain injury .Methods Randomly selected from our hospital in October 2010 - December 2013 treated 79 cases of patients with traumatic brain injuries, including nim horizon treated patients with cerebral vasospasm 39 cases, as the experimental group; Another 40 cases were treated with front row, as control group. Using doppler examination before intracranial cerebral artery, middle cerebral artery and posterior cerebral artery contraction peak velocity, and the results of two groups to do comparative analysis.Results Experimental group cure rate, mortality, and constriction of the three main arteries of peak velocity have significant difference compared with controls (P < 0.05).Conclusion Nimodipine and Alprostadil for injectionlead to compare, to better prevention and treatment of brain injury of cerebral vasospasm after the surgery, clinical treatment effect is more significant.