醒脑静注射液对脑性盐耗综合征的临床观察.docVIP

醒脑静注射液对脑性盐耗综合征的临床观察 吕和力，史忠波 菏泽市中医医院神经外科，山东 菏泽274000； [作者简介] 吕和力,男,1972年3月;工作单位:菏泽市中医医院.科室:神经外科;研究方向: 神经外科常见疾病的临床研究;本科学历;毕业院校:哈尔滨医科大学。联系地址：菏泽市中医医院神经外科.手机15953036363 邮箱：shizhongb163.com [摘 要] 目的：观察醒脑静注射液治疗脑性盐耗综合征的临床疗效。方法：观察63例，随机分为治疗组（静滴醒脑静注射液加常规补液补钠）和对照组（常规补液补钠）。结果：治疗组平均病程7.64±1.49天,对照组平均病程12.54±1.91天；治疗组32例，32例血钠恢复正常，治愈率100%。对照组31例，29例血钠恢复正常，2例死亡，治愈率94%。两组对比治疗组明显优于对照组。结论：静滴醒脑静注射液加常规补液补钠有缩短病程、降低死亡率、显著改善患者预后等作用，对脑性盐耗综合征的治疗有良好的促进作用。 [关键词]常规补液补钠;醒脑静注射液;脑性盐耗综合征 Effect of XingNaoJing Injection on cerebral salt wasting syndrome clinical observationLV He-li, SHI Zhong-bo(Heze Municipal Hospital of traditional Chinese Medicine Department of Neurosurgery, Shandong Heze 274000) Abstract: Objective To observe clinical curative effect of XingNaoJing Injection in treatment of cerebral salt wasting syndrome.Methods: 63 patients were randomly divided into the treatment group (intravenous drip of Xingnaojing Injection combined with conventional fluid sodium supplement ) and control group (conventional fluid sodium supplement ).Results: the treatment group the mean duration was 7.64 ± 1.49 days , the control group the mean duration was12.54 ± 1.91 days; the treatment group of 32 cases, 32 cases of blood sodium returned to normal, the cure rate is 100%.The control group of 31 cases, 29 cases of blood sodium returned to normal, 2 patients died, the cure rate is 94%.Between the two groups in treatment group was superior to control group. Conclusions: intravenous drip of Xingnaojing Injection combined with conventional fluid sodium supplement can shorten the course of disease, reduce mortality, improve prognosis of patients and other effects, to cerebral salt wasting syndrome treatment has a good role in promoting. Key words :conventional fluid sodium supplement ; XingNaoJing Injection ;cerebral salt wasting syndrome 颅脑损伤后并发脑性耗盐综合征（CSWS）并不常见，且容易被临床医生当作一般的电解质紊乱而忽视CSWS是指继发于急、慢性中枢神经系统损伤，肾脏保钠功能下降，血容量没有增加而引起的低钠血症。应用高渗盐水取得良好效果促进脑功能恢