Estimating the effectiveness of nimodipin in treatment of children with intracranial hemorrhage

Background:Cerebral vasospasm is a proved reaction and nimodipin revolutionised the treatment of subarrachnoid hemorrhage in adult. However, the effectiveness of Nimodipin in cerebral vasospasm remained controversial in intracranial hemorrhage (lCH) in children. Objectives:This study aims to estimate the effectiveness of nimodipin in treatment of children with intracranial hemorrhage.Subjects and method:A descriptive, prospective study was conducted on all children patients diagnosed intracranial hemorrhage and treated at Neurology department of National Hospital for Pediatric, Vietnam from 2004 to June 2007. They applied the Transcranial Doppler sonography (TCD) in diagnosis of vasospasm in intracranial hemorrhage in children and follow-up the evolution after treatment with nimodipin. Results:The results showed that cerebral vasospasm with hight resistance index (RI) on TCD (RI = 0.78 \xb1 0.08) and cerebral ischemie with low systolic velocity (Vs = 68 \xb1 12.2 crn/s) and hight pulsality index (PI = 1.4 \xb1 0.13) were observed in 100% of cases after 3 days with ICH. Nimodipine improved clinical status (71.2%) and CT scan (52%), also RI, PI, Vs returned to normal when used nimodipin within 7 days of ICH. Conclusion: The treatment method for intracranial hemorrhage with nimodipin supplement had proved to have initial effecacy in comparison with traditional method.

Study on effect of Hegu laser He-Ne iradiation on some peripheral blood indexes

20 healthy male students from 20-25 years of age were studied on the changes of peripheral blood indexes after the exact Hegu laser He-Ne irradiation with intensity 130 mW/cm2 for 2 minutes/point. 10 (changed most clearly) of 20 these students were irradiated laser outside the Hegu (1cm far from the Hegu) as the control group. Before irradiating, after laser 10, 30 minutes, vein blood was taken to investigate the following indexes: RBC, WBC, HGB, HCT, MCV, MCH, MCHC, PLT, NEUT/1, LYMPH/1, MDX/1, RDW-SD, MPV, P-LCR. The results showed that PLT, WBC, LYMPH/1 reduced markly after 10, 30 minutes (p<0.05); there were no differences of the other (RBC, HGB, HCT, MCV, MCH, MCHC, NEUT/1, RDW-SD, PDW, P-LCR) between before and after laser irradiation. There was no differences between before and after outside-Hegu laser He-Ne irradiation; the time when the peripheral blood indexes changed more clearly is at the 30th minute after irradiating.