頁籤選單縮合
題名 | Rheomacrodex治療急性血管性眩暈=Rheomacrodex in the Treatment of Acute Vascular Vertigo |
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作者姓名(中文) | 邱碩堯; 楊怡和; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 32:2 1997.04[民86.04] |
頁次 | 頁50-54 |
分類號 | 416.861 |
關鍵詞 | 血管性眩暈; 腦幹中風; 椎基底動脈循環不全症; Vascular vertigo; Brainstem stroke; Vertebrobasilar artery insufficiency; |
語文 | 中文(Chinese) |
中文摘要 | 急性眩暈病患,經重碳酸鈉治療24小時無效後,住院檢查診斷為血管性眩暈者共 39 名,給予 Rheomacrodex 每日 1000 mL 靜注以為實驗組。另選取血管性眩暈,而以生理 食鹽水或葡萄糖水溶液靜注治療之病患 12 名,以為對照組。比較兩組注射後之症狀改善時 間、自發眼振消失時間及住院天數。結果實驗組之症狀平均於 1.8 士 1.0 日完全消失,眼 振於 2.1 士 1.2 曰完全消失,住院天數則為 4.3 士 1.4 日,均較對照組短 (P<0.05) 。 分析病例分佈,無效例中以腦幹中風為最多 (43%),而有效例中則以非特定病變之中樞性眩 暈為大宗 (52%)。實驗組中計 10 例 (14 耳 ) 可見低頻聽力於治療後獲得改善,意味著血 管性眩暈亦可伴隨聽力的喪失。 |
英文摘要 | Acute vertiginous patients who had poor response to the treatment of sodium bicarbonate were studied. among those of central vertigo, Group A consisted of 39 cases treated with Rheomacrodex, while Group B was 12 patients treated with normal saline or 5% glucose solution. the group-A patients experienced complete symptom relief by 1.8 ± 1.0 day, subsidence of spontaneous nystagmus by 2.1 ± 1.2 day, and average admission period by 4.3 ± 1.4 days, which were significantly earlier than those in group B (p<0.05). The incidence of brainstem stroke was notably high (43%) in the ineffective group, while that of central vertigo without specific delineation was predominatn in the effective group. |
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