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目的观察盐酸法舒地尔联合尼莫地平治疗外伤性蛛网膜下腔出血(t SAH)的效果。方法选取2015年1月-2016年11月医院接诊的t SAH患者86例,按治疗方法的不同分为研究组与对照组,每组43例。对照组给予盐酸法舒地尔治疗,研究组给予盐酸法舒地尔联合尼莫地平治疗,2组患者均连续给药14 d。比较2组患者的治疗效果和治疗前后AngⅡ水平及血气分析变化情况。结果研究组总有效率为83.72%高于对照组的65.11%,差异有统计学意义(P<0.05)。2组AngⅡ水平较治疗前均有所下降,且研究组下降程度大于对照组,差异均有统计学意义(P<0.05)。治疗后2组患者PaO_2与pH水平较治疗前均上升,PaCO_2值下降,且研究组改善程度优于对照组,差异均有统计学意义(P<0.01)。结论盐酸法舒地尔联合尼莫地平治疗t SAH的效果显著优于单用盐酸法舒地尔。
Objective To observe the effect of fasudil combined with nimodipine on traumatic subarachnoid hemorrhage (t SAH). Methods Eighty-six t SAH patients admitted from January 2015 to November 2016 in our hospital were divided into study group and control group according to the different treatment methods, with 43 cases in each group. The control group was fasudil hydrochloride treatment, the study group was given fasudil hydrochloride combined with nimodipine treatment, two groups of patients were administered for 14 consecutive days. The therapeutic effect of two groups of patients and the changes of AngⅡ level and blood gas analysis before and after treatment were compared. Results The total effective rate was 83.72% in the study group and 65.11% in the control group, the difference was statistically significant (P <0.05). The levels of AngⅡ decreased in both groups compared with those before treatment, and the decrease in the study group was greater than that in the control group, with significant differences (P <0.05). After treatment, PaO_2 and pH levels in both groups increased compared with those before treatment, PaCO_2 decreased, and the improvement in study group was better than that in control group (P <0.01). Conclusion The effect of fasudil combined with nimodipine on t SAH was significantly better than fasudil alone.