CAJ | 학술논문

目的探讨提高高血压脑出血临床疗效的救治方案.方法采用随机对照试验方法对72例高血压脑出血患者进行分组治疗研究.治疗组32例,采用中西医结合方案(包括超早期手术,常规西医、西药及中药川芎嗪注射液静脉滴注等综合救治方案);对照组40例,采用手术、常规西医、西药治疗.连续治疗28 d后进行疗效评定.结果治疗组临床疗效明显优于对照组(χ~2=4.15、3.26,P＜0.05),治疗组病死率明显较对照组减低(χ~2=8.04,P＜0.05);并发症发生率治疗组低于对照组(χ~2=11.37,P=0.01).结论超早期手术联合中药治疗高血压脑出血疗效较不用中药组为好.
목적 탐토제고고혈압뇌출혈림상료효적구치방안.방법 채용수궤대조시험방법대72례고혈압뇌출혈환자진행분조치료연구.치료조32례,채용중서의결합방안(포괄초조기수술,상규서의、서약급중약천궁진주사액정맥적주등종합구치방안);대조조40례,채용수술、상규서의、서약치료.련속치료28 d후진행료효평정.결과 치료조림상료효명현우우대조조(χ~2=4.15、3.26,P＜0.05),치료조병사솔명현교대조조감저(χ~2=8.04,P＜0.05);병발증발생솔치료조저우대조조(χ~2=11.37,P=0.01).결론 초조기수술연합중약치료고혈압뇌출혈료효교불용중약조위호.
Objective To explore an effective treatment for hypertensive intracerebral hemorrhage.Methods By the method of random and control,patients with hypertensive intracerebral hemorrhage were randomly divided into two groups:the treatment group(32 patients)was treated with integrated traditional Chinese and western medicine therapy,including super-early operation,conventional western medicine and Chuanxiongqin injection treatment.The control group(40 patients)was treated with operation and conventional western medicine treatment.The effect was evaluated on 28 th day after treatment.Results The effect of the treatment group was superior to that of the control group(χ~2=4.15,3.26,P＜0.05).The treatment group had lower mortality rate(χ~2=8.04,P＜0.05)and lower morbidity of complications(pulmonary infection:6/16 cases,χ~2=11.37,P=0.01;upper-congestive hemorrhage:8/16 cases,χ~2=4.10,P=0.04)statistical data indicated that there was significant difference between treatment group and control group.Conclusion Super-early operation with traditional Chinese medicine in treatment of hypertensive intracerebral henorrhage has a better effect than the treatment without traditional Chinese medicine.