扩容治疗对急性缺血性脑卒中患者预后的影响.PDFVIP

窑论 著 窑 中国现代医生 2019年7月第57卷第 19期 扩容治疗对急性缺血性脑卒中患者预后的影响 严震行 吴承龙 丁国娟 浙江省绍兴市人民医院急诊科袁浙江绍兴 312000 [摘要] 目的分析扩容疗法在急性缺血性脑卒中神经功能预后改善中的应用价值遥 方法选取2016年1月~2018年 2月本院收治的178例急性缺血性脑卒中患者为研究对象袁按入院登记薄将患者分为观察组和对照组袁每组89例遥 所有患者均接受急性缺血性脑卒中标准治疗袁在此基础上给予对照组氯化钠注射液袁观察组应用中分子羟乙基 淀粉注射液进行扩容袁对比两组及其各亚组相关临床指标遥 结果两组入院时尧出院时尧出院3个月及短期和长 期神经功能评分比较袁差异无统计学意义渊P跃0.05冤曰观察组大动脉粥样硬化型短期神经功能改善情况优于对照组 渊P约0.05冤曰观察组低灌注状态者出院时尧短期改善尧出院3个月尧长期改善神经功能均优于对照组低灌注状态者 渊P约0.05冤遥 结论 中分子羟乙基淀粉扩容疗法适用于大动脉粥样硬化低灌注型急性缺血性脑卒中患者的临床治 疗袁有利于改善患者短期和长期神经功能袁提高其生活质量遥 [关键词] 扩容疗法曰中分子羟乙基淀粉曰急性缺血性脑卒中曰神经功能 [中图分类号] R743.33 [文献标识码] A [文章编号] 1673-9701渊2019冤19-0006-04 The effect of volume expansion therapy on the prognosis of patients with acuteischemic stroke YANZhenxing WUChenglong DING Guojuan DepartmentofEmergency Medicine,ShaoxingPeoples HospitalinZhejiang Province, Shaoxing 312000,China [Abstract]ObjectiveTo analyze the application value of volume expansion therapy in the improvement of neurological prognosisin acute ischemic stroke.Methods Atotal of 178patientswith acute ischemic stroke admitted in our hospital from January 2016 to February 2018 were enrolled. The patients were divided into the observation group and the con鄄 trol group according to the admission register, each of 89 cases. All patients received standard treatment of acute is鄄 chemic stroke. On this basis, the control group was given sodium chloride injection. The observation group was treated with molecular hydroxyethyl starch injection for volume expansion. The related indexes between two groups and their subgroups were compared. Results There were no significant differences in the scores of neurological function at ad鄄 mission, discharge, discharge, and short-term and long-term neurological s