摘要
目的:观察中西医结合治疗脑出血的临床疗效。方法:选择62例脑出血急性期患者,随机分为治疗组32例,对照组30例,两组均根据病情用脱水、脑保护、调整血压与血糖,维持水电解质平衡等综合疗法,部分病例行血肿碎吸或脑室外引流术,治疗组在此基础上加服化痰通腑中药。结果:治疗组治愈9例,显效17例,有效3例,无效或恶化3例,总有效率90.63%(95%CI=75.00%~98.05%):对照组治愈5例。显效10例,有效8例,无效或恶化7例,总有效率76.67%(95%CI=57.70%~90.05%)。两组综合疗效比较(u=2.1442,P=0.0322),有显著性差异。结论:中西医结合治疗脑出血临床疗效优于单纯西药疗法。其收益为OR=0.34(但95%CI跨过1),NNT=7(95%CI=3.1~30.1)。
Objective: To observe the curative effect of combination of TCM with western medicine on cerebral hemorrhage. Method : 62 cases of cerebral hemorrhage in acute stage were divided into treatment group and control group randomly. 32 cases were in treatment group, and 30 cases were in control group. All the cases in the two groups were treated by dewatering, brain protecting, adjusting blood pressure and blood sugar and maintaining water - electrolyte balance according to patients'eonditions. And some cases were handled by absorb of broken hematoma or external ventricular drainage. On the base of above methods the drugs of dissipating phlegm to unobstruet fit were given to the cases in treatment group. Result: In treatment group 9 cases were recovered, 17 cases were excellent, 3 cases were effective and 3 cases were ineffective or deteriorated. The total effective rate was 90. 62% (95% CI =75.00% -98.05% ). In control group 5 cases were recovered, 10 cases were excellent, 8 cases were effective and 7 cases were ineffective or deteriorated. The total effective rate was 76. 67% (95% CI = 57.70% - 90. 05% ). There was significant difference between the two groups (u = 2. 144 2,P =0. 032 2). Conclusion: The curative effect of combination of TCM with western medicine on cerebral hemorrhage is better than that of only western medicine, OR=0. 34 (but 95% CI is over 1 ), NNT = 7 (95% CI = 3.1 -30. 1 ).
出处
《山西中医》
2009年第2期20-21,共2页
Shanxi Journal of Traditional Chinese Medicine
关键词
脑出血
化痰通腑
中西医结合疗法
cerebral hemorrhage, dissipating phlegm to unobstruct fu, therapy of combination of TCM withWestern medicine