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目的 :观察巴曲抗栓酶、小剂量胰岛素和甘露醇联合治疗急性脑梗死的疗效。方法 :10 8例脑梗死病人随机分为治疗组 54例 ,用巴曲抗栓酶首剂10BU ,d 3及d 5各用 5BU ,静脉滴注 (静滴 ) ,胰岛素剂量视病人血糖高低而异 ,加入复方氯化钠注射液内 ,50 0mL/d ,静滴× 14d ;2 0 %甘露醇 2 50～50 0mL/d ,静滴× 7～ 14d。对照组 54例 ,用右旋糖酐_4 0葡萄糖注射液 50 0mL内加入脉络宁注射液 2 0mL/d ,静滴× 14d。 2组病人于治疗的d 2 ,d7,d 14进行神经系统缺损评分。结果 :治疗组d 14评分值 7±s9分 ,显著低于对照组 13± 9分 (P <0 .0 1)。结论 :上述 3种药物联合治疗急性脑梗死疗效显著
Objective: To observe the efficacy of batroxobin, low dose insulin and mannitol in the treatment of acute cerebral infarction. Methods: One hundred and eighty patients with cerebral infarction were randomly divided into treatment group (n = 54), intravenous drip (intravenous drip) with the first dose of batroxobin 10BU, d 3 and d 5 each, insulin dose depending on the level of blood glucose in patients Different, added to the compound sodium chloride injection, 50 0mL / d, intravenous infusion × 14d; 20% mannitol 2 50 ~ 50 0mL / d, intravenous infusion × 7 ~ 14d. Control group of 54 cases, dextran _4 0 glucose injection 50 0mL Mailuoning injection 20mL / d, intravenous infusion × 14d. Two groups of patients were treated with d 2, d 7, d 14 for neurological deficit score. Results: The score of d 14 in the treatment group was 7 ± s 9 points, which was significantly lower than that of the control group 13 ± 9 points (P0.01). Conclusion: The above three drugs combined treatment of acute cerebral infarction significant effect