目的:观察吡拉西坦联合甘露醇治疗脑出血后脑水肿的效果。方法:收治脑出血后脑水肿患者84例,随机平分为两组,对照组予以甘露醇治疗,观察组联合吡拉西坦治疗,观察并比较两组临床疗效及脑水肿体积情况。结果:观察组治疗总有效率80.95%高于对照组的59.52%,且治疗后脑水肿体积低于对照组(P<0.05)。结论:吡拉西坦联合甘露醇治疗脑出血后脑水肿效果显著,可有效减小脑水肿体积,降低颅内压,从而促进患者的神经功能恢复。%Objective:To observe the effect of piracetam combined with mannitol in the treatment of patients with brain edema after cerebral hemorrhage.Methods:84 patients with brain edema after cerebral hemorrhage were selected.They were randomly divided into the two groups with 42 patients in each group.Patients of the control group received mannitol treatment,and the observation group combined with piracetam for treatment.The clinical curative effect and cerebral edema volume of the two groups were observed and compared.Results:The total effective rate of the observation group of 80.95% was higher than the control group of 59.52% ,and the cerebral edema volume after treatment was lower than the control group(P<0.05).Conclusion:Piracetam combined with mannitol in the treatment of patients with brain edema after cerebral hemorrhage has significant effect can effectively reduce the volume of brain edema,and reduce intracranial pressure,in order to promote the recovery of neurological function.
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