刘忠元

【摘 要】目的：在高颅内压脑卒中患者治疗过程运用吡拉西坦氯化钠注射液，并对其效果进行分析。方法：本实验所涉及的对象是2020年3月至2021年1月因高颅内压脑卒中来我院就诊的患者，患者数量总计80例，根据双盲法将患者分为试验组（40例）与参照组（40例）。参照组患者运用甘露醇治疗，试验组患者运用吡拉西坦氯化钠注射液治疗，将两组患者治疗的不良反应情况、治疗效果、生活质量评分进行对比，分析最为适宜的治疗高颅内压脑卒中患者的方法。结果：比较研究结果发现，与参照组患者相比较，试验组患者治疗有效率、生活质量评分更高，且不良反应发生率更低，组间差异具有显著性特征（P<0.05）。结论：在高颅内压脑卒中患者的临床治疗实践中吡拉西坦氯化钠注射液较之甘露醇效果更为显著，可在保证治疗效果基础上避免出现不良反应。故而应在高颅内压脑卒中患者临床治疗实践中大力推广吡拉西坦氯化钠注射液治疗手段。

【关键词】吡拉西坦氯化钠注射液；高颅内压脑卒中；临床效果

Clinical experience of piracetam sodium chloride injection in the treatment of 40 cases of stroke with high intracranial pressure

Liu Zhongyuan

Tongyu County， Wulanhua Town Health Center， Tongyu Jilin 137200， China

【Abstract】Objective：To use piracetam sodium chloride injection in the treatment of stroke patients with high intracranial pressure and analyze its effect.Methods： The subjects involved in this experiment were 80 patients who came to our hospital from March 2020 to January 2020 due to high intracranial pressure stroke. According to the double-blind method， the patients were divided into experimental group（40cases） and reference group（40cases）. Patients in the reference group were treated with mannitol，while patients in the experimental group were treated with piracetam sodium chloride injection. The adverse reactions， therapeutic effects and quality of life scores of the two groups were compared， and the most suitable method for treating stroke patients with high intracranial pressure was analyzed. Results： Compared with the reference group， the experimental group had higher effective rate and higher quality of life score， and lower adverse reaction rate， and the difference between the two groups was significant（P<0.05）.Conclusion：Piracetam sodium chloride injection is more effective than mannitol in the clinical treatment of stroke patients with high intracranial pressure， which can avoid adverse reactions on the basis of ensuring the therapeutic effect. Therefore， piracetam sodium chloride injection should be widely used in the clinical treatment of stroke patients with high intracranial pressure.

【Key？Words】Piracetam sodium chloride injection； Stroke with high intracranial pressure； Clinical effect

腦卒中在临床上是一种较为常见的急性脑血管疾病[1]。脑卒中是因为脑部血管突然破裂或者阻塞而导致血液无法流入大脑而引发的脑组织损伤的一种病症。脑卒中患者的临床表现为半身不遂、不省人事、眩晕等。笔者对吡拉西坦氯化钠注射液治疗高颅内压脑卒中患者的临床效果进行了全面且深入的研究，现形成具体报道如下。

1.1 一般资料