中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
29期
152-154,157
,共4页
景志军%杨建青%刘亚宁%李永利%杨维艳%周瑞涛%毕艳平
景誌軍%楊建青%劉亞寧%李永利%楊維豔%週瑞濤%畢豔平
경지군%양건청%류아저%리영리%양유염%주서도%필염평
高血压脑出血%颅内血肿钻孔引流术%补阳还五汤%早期应用
高血壓腦齣血%顱內血腫鑽孔引流術%補暘還五湯%早期應用
고혈압뇌출혈%로내혈종찬공인류술%보양환오탕%조기응용
Hypertensive cerebral hemorrhage%Intracranial hematoma drilling drainage%Buyang Huanwu decoction%Early application
目的：探讨高血压脑出血患者行钻孔引流术后早期应用补阳还五汤的效果。方法选取本院2013年3月~2015年2月收治的150例高血压脑出血患者作为研究对象，随机分为治疗组和对照组，各75例。对照组采用颅内血肿钻孔引流术，并给予西医常规治疗，治疗组在对照组的基础上给予补阳还五汤加减鼻饲或口服，观察两组的效果。结果治疗组的意识清楚者所占比例显著高于对照组，意识恢复时间显著短于对照组，差异有统计学意义(P<0.05)。治疗组的肢体肌力恢复情况显著优于对照组，差异有统计学意义(P<0.05)。治疗组的语言清晰者所占比例显著高于对照组，差异有统计学意义(P<0.05)。治疗组的痊愈率、愈显率及总有效率显著高于对照组，差异有统计学意义(P<0.05)。结论高血压脑出血行颅内血肿钻孔引流术患者早期应用补阳还五汤治疗的效果明显优于单纯手术治疗。
目的：探討高血壓腦齣血患者行鑽孔引流術後早期應用補暘還五湯的效果。方法選取本院2013年3月~2015年2月收治的150例高血壓腦齣血患者作為研究對象，隨機分為治療組和對照組，各75例。對照組採用顱內血腫鑽孔引流術，併給予西醫常規治療，治療組在對照組的基礎上給予補暘還五湯加減鼻飼或口服，觀察兩組的效果。結果治療組的意識清楚者所佔比例顯著高于對照組，意識恢複時間顯著短于對照組，差異有統計學意義(P<0.05)。治療組的肢體肌力恢複情況顯著優于對照組，差異有統計學意義(P<0.05)。治療組的語言清晰者所佔比例顯著高于對照組，差異有統計學意義(P<0.05)。治療組的痊愈率、愈顯率及總有效率顯著高于對照組，差異有統計學意義(P<0.05)。結論高血壓腦齣血行顱內血腫鑽孔引流術患者早期應用補暘還五湯治療的效果明顯優于單純手術治療。
목적：탐토고혈압뇌출혈환자행찬공인류술후조기응용보양환오탕적효과。방법선취본원2013년3월~2015년2월수치적150례고혈압뇌출혈환자작위연구대상，수궤분위치료조화대조조，각75례。대조조채용로내혈종찬공인류술，병급여서의상규치료，치료조재대조조적기출상급여보양환오탕가감비사혹구복，관찰량조적효과。결과치료조적의식청초자소점비례현저고우대조조，의식회복시간현저단우대조조，차이유통계학의의(P<0.05)。치료조적지체기력회복정황현저우우대조조，차이유통계학의의(P<0.05)。치료조적어언청석자소점비례현저고우대조조，차이유통계학의의(P<0.05)。치료조적전유솔、유현솔급총유효솔현저고우대조조，차이유통계학의의(P<0.05)。결론고혈압뇌출혈행로내혈종찬공인류술환자조기응용보양환오탕치료적효과명현우우단순수술치료。
Objective To explore the effect of early application of Buyang Huanwu decoction in the treatment of hyper-tensive cerebral hemorrhage after the operation of drilling drainage. Methods 150 patients with hypertensive cerebral hemorrhage from March 2013 to February 2015 in our hospital were selected and randomly divided into the treatment group and the control group,75 cases in each group.The control group was treated with drilling drainage and taken care of in routine treatment of western medicine,the treatment group was treated with Buyang Huanwu decoction by orally or nasal feeding on the basis of the control group.The effect in two groups was compared. Results The proportion of con-scious awareness in the treatment group was higher than that in the control group,the recovery time of the conscious-ness in the treatment group was shorter than that in the control group,with significant difference (P<0.05).The recovery condition of limb muscle strength in the treatment group was better than that in the control group,with significant differ-ence (P<0.05). The proportion of language clarity in the treatment group was higher than that in the control group,with significant difference (P<0.05).The cure rate,the healing rate and the total effective rate in the treatment group was higher than that in the control group,with significant difference (P<0.05). Conclusion The curative effect of early appli-cation of Buyang Huanwu decoction in the treatment of hypertensive cerebral hemorrhage after the operation of drilling drainage is significant better than that in simple surgical treatment.
