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盐酸纳洛酮治疗高血压脑出血微创血肿清除术后昏迷患者临床观察
引用本文:陈炳,刘晓萍,王晓英,杨荣.盐酸纳洛酮治疗高血压脑出血微创血肿清除术后昏迷患者临床观察[J].中国实用神经疾病杂志,2009,12(7).
作者姓名:陈炳  刘晓萍  王晓英  杨荣
作者单位:广东电白县人民医院,电白,525400
摘    要:目的 观察盐酸纳洛酮对高血压脑出血微创血肿清除术后的治疗效果. 方法 将52例基底节区脑出血行微创血肿清除术后昏迷的患者随机分为治疗组(27例)与对照组(25例),全部患者均予甘露醇脱水,控制血糖、血压,防治并发症及对症支持治疗.治疗组加用4.0mg纳洛酮溶于5%葡萄糖溶液中静滴,1次/d.观察患者神志转清所需时间. 结果 治疗组神志转清时间平均(6.7±1.5)d,对照组为(8.9±1.7)d.治疗组较对照组神志转清时间短,统计学分析有显著差异(P<0.05). 结论 盐酸纳洛酮可促使高血压脑出血微创血肿清除术后昏迷患者神志转清,缩短昏迷时间及住院时间,减少并发症.

关 键 词:纳洛酮  脑出血  昏迷时间  微创血肿清除术

Clinical observation of Naloxone hydrochloride for coma patients suffering from hypertensive intracerebral hemorrhage by minimally invasive surgery
Chen Bing,Liu Xiaoping,Wang Xiaoying,et al..Clinical observation of Naloxone hydrochloride for coma patients suffering from hypertensive intracerebral hemorrhage by minimally invasive surgery[J].Chinese Journal of Practical Neruous Diseases,2009,12(7).
Authors:Chen Bing  Liu Xiaoping  Wang Xiaoying  
Institution:Chen Bing,Liu Xiaoping,Wang Xiaoying,et al.Dianbai People's Hospital,Dianbai 525400,Guangdong,China
Abstract:Objective To observe the effect of Naloxone hydrochloride for coma patients suffering from hypertensive intracerebral hemorrhage by minimally invasive surgery.Methods Fifty-two cases of coma patients suffering from basal ganglia hemorrhage treated with minimally invasive surgery were randomly divided into treatment group (27 cases) and control group (25 cases).Two groups of patients correspondingly got some treatments,such as dehydrating in mannitol,controlling blood sugar and blood pressure,preventing some...
Keywords:Naloxone  Cerebral hemorrhage  Time in a coma  Minimally invasive surgery  
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