The role of magnesium sulfate in the treatment of vasospasm in patients with spontaneous subarachnoid haemorrhage

被引：0
|
作者：
Fountas, K. N. [1 ,2 ]
Machinis, T. G. [3 ]
Robinson, J. S. [2 ]
Sevin, C. [2 ]
Fezoulidis, N. I. [1 ]
Castresana, M. [4 ]
Kapsalaki, E. Z. [2 ]
机构：
[1] Med Coll Georgia, Dept Neurosurg, 840 Pine St Suite 880, Macon, GA 31201 USA
[2] Mercer Univ Sch Med, Dept Neurosurg, Med Ctr Cent Georgia, Macon, GA 31201 USA
[3] Virginia Commonwealth Univ Med Coll Virginia, Dept Neurosurg, Richmond, VA USA
[4] Med Coll Georgia, Dept Crit Care Med, Augusta, GA USA
来源：
CEREBRAL VASOSPASM: NEW STRATEGIES IN RESEARCH AND TREATMENT | 2008年 / 104卷
关键词：
cost of treatment; magnesium sulfate; outcome; subarachnoid haemorrhage; transcranial doppler; vasospasm;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The vasodilatory effect of magnesium sulfate (MgSO4) in cerebral vessels has been previously demonstrated. Our prospective, randomized study assessed the effect of MgSO4 in the treatment of vasospasm in patients with spontaneous subarachnoid haemorrhage (SAH). Seventy-four patients with SAH were randomly divided into 3 groups. In Group A, only nimodipine was administered; in Group B, only MgSO4 was given; and in Group C, both nimodipine and MgSO4 were administered. Daily TransCranial Doppler (TCD) measurements of the anterior (ACA) and middle (MCA) cerebral arteries were Subsequently obtained. Glasgow Outcome Scale (GOS) scores, hospital stay length, and the cost of treatment were tracked and calculated. Mean flow velocity measurements for ACA and MCA were calculated. Differences between Groups A and B, and Groups A and C (p 0.0013, 0.0011, respectively) were statistically significant. The mean GOS scores were: Group A, 3.8; Group B, 4.4; and Group C, 4.1. The mean lengths of stay were: Group A, 11.8 +/- 0.2 days; Group B, 11.5 +/- 0.2 d; and Group C, 11.3 +/- 0.1 d. The cost of treatment was similar between all groups. Intravenous MgSO4 significantly decreases cerebral flow velocities. Administration of MgSO4 improved our patients' outcomes and reduced the length of their hospital stay. Our preliminary results justify the need for a large, randomized multi-institutional study.
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页码：269 / +
页数：3
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