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目的对不同补钠方法治疗脑出血并发低钠血症的临床疗效进行观察分析。方法 120例脑出血并发低钠血症患者,87例血清钠含量120~135 mmol/L作为对照组(口服补钠),33例血清钠含量<120 mmol/L作为观察组(静脉补钠)。比较两组患者补钠效率。结果观察组补钠效率97.5%明显高于对照组79.3%,差异有统计学意义(P<0.05)。对照组血清钠含量120~125 mmol/L患者的补钠效率94.8%显著高于血清钠含量126~135 mmol/L患者补钠效率72.0%,差异有统计学意义(P<0.05)。结论脑出血并发低血钠症患者应用静脉补钠治疗效果优于口服补钠治疗,对于血清钠水平120~125 mmol/L之间的患者不主张使用静脉补钠,静脉补钠法对于其他脑出血并发低钠血症的患者均适用。
Objective To observe and analyze the clinical effects of different sodium supplementation on cerebral hemorrhage complicated with hyponatremia. Methods 120 patients with cerebral hemorrhage complicated with hyponatremia, 87 patients with serum sodium level of 120-135 mmol / L as control group (oral sodium supplementation) and 33 patients with serum sodium level <120 mmol / L as observation group (intravenous sodium supplementation) . Comparison of two groups of patients sodium efficiency. Results The sodium supplement efficiency in observation group was significantly higher than that in control group (97.5% vs 79.3%, P <0.05). The sodium supplementation efficiency was 94.8% in patients with serum sodium level of 120 ~ 125 mmol / L in the control group, which was significantly higher than that in patients with 126 ~ 135 mmol / L sodium level (72.0%). The difference was statistically significant (P <0.05). Conclusions Intravenous sodium supplementation is superior to oral sodium supplementation in patients with cerebral hemorrhage complicated with hyponatremia. For patients with serum sodium level 120-125 mmol / L, intravenous sodium supplementation is not advocated. Intravenous sodium supplementation is effective for other brain Bleeding complicated with hyponatremia patients are applicable.