摘要
目的探讨破血醒脑汤结合颅内血肿微创清除术治疗中重度脑出血的可行性及临床疗效。方法将42例中重度脑出血患者随机分为治疗组和对照组,对照组在常规治疗基础上行微创血肿清除术;治疗组在对照组治疗的基础上加用破血醒脑汤治疗。治疗1个疗程后,统计治疗结果。结果 1)神经功能缺损评分治疗组神经功能评分下降程度与对照组有统计学意义(P<0.01)。2)日常生活能力量表治疗组日常生活能力量表评分与对照组有极显著差异,有统计学意义(P<0.01)。3)2组治疗后经Ridit分析有显著性差异(P<0.01)。结论运用破血醒脑汤结合颅内微创血肿清除术治疗急性中重度脑出血,能促进血肿吸收,减轻脑水肿,明显改善患者神经功能缺损程度,显著改善患者日常生活能力,降低致残程度。
Objective： To explore the feasibility and clinical effect of Poxu Xingnao Decoction combined with minimally invasive elimi- nation of intracranial hematoma on the treatment of moderate and severe cerebral hemorrhage. Methods ： 42 patients were randomly divided into a treatment group and a control group. The control group was treated with the minimally invasive elimination on the basis of routine treatment while the treatment group was added Poxu Xingnao Decoction besides the treatment of the control group. After a course of treat- ment, the statistical results of the treatment were conducted. Results ： 1. The neurologic impairment score of the treatment group was signif- icantly lower than that of the control group, and the difference was statistical significance （P 〈0. 01 ）. 2. The daily living ability of the treatment group was significantly different from that of the control group, with statistical significance （P 〈 0. 01 ）. 3. There were significant differences by Ridit analysis between the two groups （ P 〈 0. 01 ）. Conclusion ： Poxing Xingnao Decoction combined with minimally invasive elimination of intracranial hematoma can improve hematoma absorption, reduce cerebral edema, repair neurologic impairment and improve the daily living ability of patients and decrease the disability of patients.
作者
贺国良
秦卓红
HE Guo - liang QIN Zhuo - hong(Traditional Chinese Medicine Hospital of Changzhi City, Changzhi 046000, Shanx)
出处
《云南中医中药杂志》
2017年第3期21-23,共3页
Yunnan Journal of Traditional Chinese Medicine and Materia Medica
关键词
破血醒脑汤
颅内血肿微创清除术
中重度脑出血
Poxing Xingnao Decoction, minimally invasive elimination of intracranial hematoma, moderate and severe cerebral hemorrhage
