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73 例大面积脑梗塞诊治分析
[摘要 ] 目的 观察并探讨经去大骨瓣减压术联合依达 拉奉治疗大面积脑梗塞 （ Massive brain infarction ，MBI ）的疗 效。方法 整群选择 2013 年 11 月― 2015 年 10 月在该院诊治 的 MBI 患者 73 例，按不同治疗方法分为观察组 37 例和对照 组 36 例，分别给予依达拉奉治疗和大骨瓣减压术联合依达 拉奉治疗。分析其日常生活能力（ ADL）分级、神经功能缺
损（NIHSS评分、精神状态（MMSE）评分。 结果 治疗后 两组患者的NIHSS评分和MMSE评分均优于治疗前， 且观察 组各评分更优于对照组 （P>）；治疗后观察组和对照组的
ADL分级明显优于对照组， 其ADL（ I+II）% （23/37 ）和 %（ 15/36）（ P<）。结论 经大骨瓣减压 术联合依达拉奉治疗后，疗效显著，值得推广应用。
[关键词]大骨瓣减压术；依达拉奉；大面积脑梗塞 [中图分类号 ] [文献标识码 ] A [文章编号 ]
1674-0742( 2016) 05( b) -0044-03
[Abstract] Objective To observe and discuss the curative effect of decompressive craniectmy and edaravone in treatment of massive brain infarction. Methods 73 cases of patients with massive brain infarction diagnosed and treated in our hospital from November 2013 to October 2015 were selected and divided into two groups ， the observation group （ 37 cases） were treated with edaravone ， the control group （ 36 cases） were treated with decompressive craniectmy and edaravone， and the activity of daily living grading ， neurologic impairment scores and mental state scores were analyzed. Results The NIHSS score and MMSE score in the two groups after treatment were better than those before treatment ， and the various scores in the observation group were better than those in the control group （ P>）， the A