Richardson A E, Bereen F J
Lancet. 1977 Nov 26;2(8048):1110-1. doi: 10.1016/s0140-6736(77)90550-5.
2-oxopyrollidine acetamide (piracetam) is said to protect the cerebral cortex against hypoxia. Since surgery is believed to aggravate cerebral hypoxia and the consequent neurological dysfunction, patients undergoing surgery for brain tumours or ruptured cerebral aneurysms were studied. A random, non-stratified study of 100 patients showed that a significantly higher percentage of patients receiving piracetam attain or maintain a normal or near-normal level of consciousness postoperatively than those receiving a placebo. No side-effects or interaction of piracetam with other medications were noted.
2-氧代吡咯烷乙酰胺(吡拉西坦)据说能保护大脑皮层免受缺氧影响。由于手术被认为会加重脑缺氧及随之而来的神经功能障碍,因此对接受脑肿瘤或破裂脑动脉瘤手术的患者进行了研究。一项对100名患者的随机、非分层研究表明,与接受安慰剂的患者相比,接受吡拉西坦的患者术后达到或维持正常或接近正常意识水平的比例明显更高。未观察到吡拉西坦的副作用或与其他药物的相互作用。