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目的探讨白蛋白联合甘露醇治疗脑出血周围水肿的疗效及对周围水肿的影响。方法纳入脑出血周围水肿患者64例,试验组(n=35)患者采用白蛋白联合20%甘露醇治疗,对照组(n=29)单独应用20%甘露醇治疗,比较两组患者的临床疗效。结果试验组显效率为88.6%),对照组显效率69.0%,试验组临床疗效明显好于对照组(P<0.05),两组治疗后血肿量及水肿面积均好于治疗前(P<0.05),试验组效果好于对照组(P<0.05)。结论白蛋白联合甘露醇对减轻脑出血后周围水肿有明显效果,且好于单独应用甘露醇治疗。
Objective To investigate the efficacy of albumin combined with mannitol in the treatment of peripheral edema and its effect on peripheral edema. Methods Sixty-four patients with cerebral edema around cerebral hemorrhage were enrolled in this study. Patients in the test group (n = 35) were treated with albumin combined with 20% mannitol and 20% mannitol alone in the control group (n = 29) . Results The effective rate of the experimental group was 88.6%. The effective rate of the control group was 69.0%. The clinical efficacy of the experimental group was significantly better than that of the control group (P <0.05) ), The experimental group is better than the control group (P <0.05). Conclusion Albumin combined with mannitol has a significant effect on relieving peripheral edema after intracerebral hemorrhage and is better than mannitol alone.