醒脑静治疗成人颅内化脓性脑膜炎疗效分析.docVIP

醒脑静治疗成人颅内化脓性脑膜炎疗效分析 　　[摘要] 目的 探讨醒脑静注射液在治疗成人颅内化脓性感染的临床疗效。 方法 选择我院2010年5月～2012年5月间收治的39例成人化脓性脑膜炎感染患者作为研究对象，将所有患者随机分为两组，即为观察组20例和对照组19例。对照组患者采用常规治疗，即给予甘露醇、抗生素、激素等治疗，观察组患者在对照组治疗的基础之上加用醒脑静注射液进行治疗。两组疗程均为两周，观察并记录患者的意识、体温等情况，检测患者的全血白细胞数（B-WBC）、脑脊液白细胞数（CSF-WBC）。 结果 与对照组相比，观察组患者的退热时间、意识恢复情况明显更好，且观察组患者的B-WBC、CSF-WBC也明显低于对照组，差异有统计学意义（P0.05）。 结论 在成人颅内化脓性脑膜炎患者的治疗中加用醒脑静注射液可以迅速缓解患者高热、意识障碍等情况，降低全血以及脑脊液中的白细胞数至正常范围内，疗效确切。 　　[关键词] 醒脑静；化脓性脑膜炎；中西医结合疗法 　　[中图分类号] R742 [文献标识码] B [文章编号] 1673-9701（2014）31-0031-02 　　Clinical analysis of the efficacy on adult intracranial suppurative meningitis plus Xingnaojing injection 　　XU Lijun 　　Department of Neurology， Jiangmen City Central Hospital in Guangdong Province， Jiangmen 529000， China 　　[Abstract] Objective To investigate the clinical efficacy of Xingnaojing injection in adult intracranial suppurative infections. Methods Thirty nine cases of adult patients with suppurative meningitis infection in our hospital from May 2010 to May 2012 were treated as research subjects， all patients were randomLy divided into two groups， namely 20 cases in observation group and 19 cases in control group. The control group was treated with conventional therapy， giving the mannitol， antibiotics， hormones and other treatments， and the observation group was given Xingnaojing injection on the basic treatment of the control group. The treatment lasted for two weeks， the patients consciousness， body temperature were observed and recorded， and whole blood leukocyte count （B-WBC） and cerebrospinal fluid white blood cell count （CSF-WBC） were detected. Results Compared with the control group， fever time， recovery condition of consciousness in the observation group was significantly better，and B-WBC， CSF-WBC in the observation group were significantly less than the control group（P0.05）. Conclusions Xingnaojing injection added in adult patients with intracranial suppurative meningitis treatment can quickly relieve heat， unconsciousness， and reduce the number of white