摘要
目的 观察补阳还五汤加减治疗中小量脑出血急性期临床疗效及血肿吸收情况。方法 60例中小量脑出血急性期患者随机分为 2组。对照组 3 0例运用西医常规治疗 ,治疗组 3 0例在西医常规治疗的基础上口服或鼻饲补阳还五汤加减煎剂 ,2组疗程均为 1 5日。观察 2组治疗后神经功能缺损积分变化、临床疗效及血肿吸收的情况。结果 2组治疗后神经功能缺损积分与治疗前比较均有显著性差异 (P <0 .0 5或P <0 .0 1 ) ;2组治疗后神经功能缺损积分比较有显著性差异 (P <0 .0 5 ) ;治疗组总有效率为 87% ,对照组总有效率为 73 % ,2组比较有显著性差异 (P <0 .0 5 ) ;2组治疗后血肿吸收率有显著性差异 (P <0 .0 5 )。结论 在西医常规治疗的基础上加用补阳还五汤加减治疗中小量脑出血急性期疗效确切 ,血肿吸收迅速。
Objective To observe the therapeutic effects and changes of intracranial hematomas of cerebral hemorrhage of small or moderate volume at acute stage treated by Buyanghuanwu decoction. Methods Sixty patients with cerebral hemorrhage of small or moderate volume at acute stage were randomly divided into two groups. Thirty patients in control group were treated by only routine therapy, however, the other thirty patients in treatment group were treated by combination of routine therapy and Buyanghuanwu decoction by oral or nasal administration, with a treatment course of 15 days for both groups. The therapeutic effects, score of neural functional defect and size of intracranial hematomas before and after treatment were observed. Results There was a significant difference in the score of neural function defect before treatment and after treatment in both groups(P<0.05 or P<0.01). There was a significant difference in the score of neural function defect after treatment between two group (P<0.05 ).The total effective rate in treatment group (87%) was significantly higher than that in control group (73%,P<0.05).There was a significant difference in the absorption rate of intracranial hematomas after treatment between two groups (P<0.05).Conclusion The combination of routine therapy and Buyanghuanwu decoction has definite therapeutic effect on cerebral hemorrhage of small or moderate volume at acute stage.
出处
《河北中医》
2004年第11期841-842,共2页
Hebei Journal of Traditional Chinese Medicine
关键词
补阳还五汤
脑出血
急性期
Buyanghuanwu decoction
Cerebral hemorrhage
Acute stage
