甘露醇、七叶皂苷钠联合应用治疗脑出血致脑水肿的疗效及对神经功能的影响

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中图分类号：R743.34文献标识码：A

DOI：10.3969/j.issn.1006-1959.2025.12.016 文章编号：1006-1959（2025）12-0082-05

Efficacy of Combined Applicationof Mannitoland Sodium Aescinate in the Treatment of Cerebral Edema Caused by Cerebral Hemorrhageand its Effect on Neurological Function

SUNJing，LINLiqiao

（DepartmentofncephalopathyYuduCountyHospitalofTaditionalhineseedicine，Yudu3423Oo，Jiangxiina

Abstract：OjetiTvestiatefacfaindodateinereaetfebraleausedyerebaloe anditsefectoneurogicalfunctionMethdsAtotalof6patientswithcerebraledemacusedbycerebralemorhageadmiedtote DepartmentofcehalopatuuCuntHspitalofadiioalCeedicifroJarytArl4ereseleted objects.Accordingtotadomumbertablemetd，teyeredividedntocontrolgoupndtdyoupithpatientsinchope controlgroupradiaoleiodtdoradiodateotsisfotroueotal fectivteftaloaci interleukin 6 （IL-6），tumor necrosis factor- α （TNF- ∇⋅αL ），high-sensitivity C-reactive protein （hs-CRP）]，prognostic indicators （Fugl-Meyer score，CSS scoreBarteloedctisoldalieed groups.ResultsThe total effectiverateof treatment in the study group was higher than thatin thecontrol group（ Pe <0.05）.Thevolume of cerebral hematoma and edema zone in the study group were lower than thosein the control group（ P<0.05） .Thelevelsof inflammatory factorsin the study group were lower than those in the control group P<0.05） .TheFugl-Meyer score and Barthel score of the study group were higher than those of the control group，while the CSS score was lower than that of the control group（ P<0.05 ）.Theincidence of adverse reactions in the study group was lower than that in the control group（ P<0.05） .Conclusion Mannitolcombined with sodiumaescinate is effectivein the treatment of cerebral edema caused bycerebralouefalaueaoosoocl functionand activities of daily living，and hashigh safety.Itisworthyof application.

KeyWords：Mannitol;Sodiumaescinate;Cerebral hemorrhage;Cerebral edema;Neural function

脑水肿（cerebraledema）通常是因脑出血、脑卒中、外伤性颅脑损伤等疾病引起的危急重症，其中尤以脑出血后引起的脑水肿最为多见。（剩余6317字）