摘要
目的:探讨中西医结合治疗昏迷患者的临床疗效观察。方法:选择我院2009年1月至2011年1月收治的173例昏迷患者,将患者按随机抽样法随机分为研究组和对照组,两组均根据病情给予原发病治疗。对照组87例患者,给予西医常规治疗(维持循环功能,纳洛酮促醒,保持呼吸道通畅,纠正水、电解质和酸碱平衡紊乱等)。研究组86例患者,在对照组基础上给予中药复方中药治疗,观察两组治疗效果,苏醒时间以及测定昏迷观察量表(G-pcs)。结果:对照组有效率75.86%,研究组有效率为88.37%,两者比较,差异显著,有统计学意义(P<0.05),与对照组苏醒时间(18.34±4.64)h比较,治疗组苏醒时间(11.56±2.67)h,两者比较,差异显著,有统计学意义(P<0.05)。与治疗前比较,两组患者(G-pcs)评分均升高,差异显著,有统计学意义(P<0.05)。治疗后,与对照组患者(G-pcs)评分比较,研究组(G-pcs)评分均增加。两者比较,差异显著,有统计学意义(P<0.05)。结论:中西医结合治疗昏迷效果显著,不良反应发生率低,值得临床推广。
Objective： To explore the clinical curative effect of coma patients treated with a combination of traditional Chinese medicine （TCM） and western medicine. Method： One hundred and seventy-three coma cases who were admitted in our hospital from january 2009 to january were chose 2011, and randomly divided into two groups according to the state of illnesses, the observation group and the control group, and they were given the treatment of protopathy; the 87 patients in the observation group, were given conventional western medicine therapy （maintaining circulative function, naloxone promote wake, keep respiratory tract unobstructed, correct water, electrolyte and acid-base balance disorders, etc）. The 86 patients in the control group were treated with Chinese medicine. The reatment effect and revival time were observe in two groups. Result： The effective rate in control group was 64. 86% , the observation group was 86.49% , there was a statistical significance （P 〈 0.05） , and in control group revival time （18.34± 4.64） h, the observation group revival time （11.56 ±2.67） h, there was a statistical significance （P 〈 0, 05）. Compared with before treatment, scores of patients in the two groups （G-pcs） were increased, there was a statistical significance （P 〈 0.05 ）. After treatment, and score of patients in control group （G-pcs） increased, there was a statistical significance （P 〈 0.05 ）. Conclusion： Combinined treatment of traditional Chinese medicine and western medicine is effective.
出处
《中国实验方剂学杂志》
CAS
北大核心
2013年第2期302-304,共3页
Chinese Journal of Experimental Traditional Medical Formulae
关键词
中西医结合
昏迷
疗效观察
combine traditional chinese and western medicine
coma
curative effect observation
