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[卡维地洛治疗缺血性脑卒中。临床及计算机断层扫描评估]

[Cavinton in the treatment of ischemic cerebral stroke. Clinical and computerized-tomographic evaluation].

作者信息

Domzał T, Kozłowski P, Zaleska B

出版信息

Neurol Neurochir Pol. 1986 May-Jun;20(3):234-40.

PMID:3537828
Abstract

Intravenous Cavinton (ethyl ester of apovincaminic acid) was given to 27 patients with acute ischaemic stroke, while 30 patients were given aminophylline twice daily during 10 days. The results of this treatment was compared on the basis of clinical manifestations and changes in computerized tomograms (CT) before and after the treatment. It was found that Cavinton gave similar results as aminophylline and other vasoactive preparations studied by other authors. In the group of severe strokes better results were observed after Cavinton, --out of 14 patients 2 died and 12 improved. In the aminophylline group 5 out of 10 patients died, and in 2 no improvement was observed. Clinical improvement was not correlated with CT improvement, while a significant correlation was observed between the state of the patient during admission and the size of the focus in CT. Cavinton had a significantly greater effect on the regression of CT changes.

摘要

对27例急性缺血性中风患者静脉注射长春胺乙酯(卡温顿),而30例患者在10天内每日两次给予氨茶碱。根据临床表现以及治疗前后计算机断层扫描(CT)的变化对这种治疗的结果进行比较。发现卡温顿的效果与氨茶碱以及其他作者研究的其他血管活性制剂相似。在重症中风组中,使用卡温顿后观察到更好的结果,14例患者中有2例死亡,12例病情改善。在氨茶碱组中,10例患者中有5例死亡,2例未见病情改善。临床改善与CT改善不相关,而入院时患者的状态与CT中病灶大小之间存在显著相关性。卡温顿对CT变化的消退有显著更大的作用。

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