依达拉奉治疗脑出血30例临床分析

    Edaravone for treatment of cerebral hemorrhage: Report of 30 cases

    • 摘要: 目的:探讨依达拉奉治疗脑出血的效果及安全性。方法:将60例脑出血患者随机分为治疗组和对照组,治疗组在常规治疗的基础上给予依达拉奉治疗,14天为1个疗程。分别比较两组治疗前及治疗后14天和28天神经功能缺损程度(nationalinstitute of health stroke scale,NIHSS)。观察治疗组治疗前后血浆凝血酶原时间(prothrombin time,PT)、活化部分凝血活酶时间(activated partial thromboplastin time,APTT)和血浆纤维蛋白原(FG)的变化。结果:与对照组比较,治疗组治疗后14天和28天的NIHSS评分均明显低于对照组(P<0.01);治疗组治疗后14天PT、APTT和FG与治疗前比较差异均无统计学意义(P>0.05);两组不良事件比较差异也均无统计学意义(P>0.05)。结论:依达拉奉治疗脑出血有效、安全。

       

      Abstract: Objective: To observe the clinical effect of edaravone on intracerebral hemorrhage(ICH).Methods: Sixty patients with ICH were randomly assigned to two groups.Thirty patients in the treatment group were given edaravone in addition to the routine therapy for 14 days and the other 30 patients were treated routinely.The degree of neurologic impairment before treatment and at 14th and 28th day after treatment was compared between the two groups by the National Institute of Health Stroke Scale(NIHSS).The prothrombin time(PT),activated partial thromboplastin time(APTT) and fibrinogen(FG) were recorded before and after edaravone therapy in the treatment group.Results: The NIHSS of the treatment group was obviously lower than that of the control group(P<0.01).The PT,APTT and FG had no significant change in the treatment group(P>0.05).The treatment group had no more incidence of adverse drug reaction than the control group(P>0.05).Conclusions: Edaravone is an efficacious and safe therapeutic agent for ICH.

       

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