中西医结合救治中大量脑出血患者对中医症状改善的临床观察

A Clinical Study on Symptomatic Improvement of Massive Cerebral Hemorrhage by TCM Combined with Western Medicine

目的:观察中西医结合救治对高血压性中大量脑出血患者中医症状的改善作用。方法:将201例患者随机分为试验组和对照组。试验组103例应用综合救治方案(包括外科手术、中医辨证治疗和基础治疗),对照组98例应用外科手术、西药治疗和基础治疗。治疗后3天、7天,评价存活病人中医症状(神志不清、喉中痰鸣、面赤身热、躁扰不宁)改善程度。结果:治疗后3天、7天,试验组、对照组存活病人分别为98/97例、94/87例。中医症状中神志不清改善以及阳闭证存活病人喉中痰鸣、面赤身热、躁扰不宁等症状改善比较,试验组均优于对照组(P<0.05)。结论:综合救治方案能较好地改善患者的中医症状,尤其在占大多数的阳闭证患者的疗效中,显示清热、平肝、破瘀、涤痰、通腑、醒神等治法以及方药切合了该病的病机。

Objective: To observe the symptomatic improvement by TCM combined with western medicine (WM) for massive cere-bral hemorrhage (MCH). Methods: 201 cases were allocated to 2 groups randomly, the treatment group (103 cases) was treated by comprehensive measures (including surgical operation, TCM syndrome differentiation and treatment and basic treatment), and the control group (98 cases) by surgical operation, western medication and basic treatment, the symptomatic improvement of survival pa-tients (mental unconsciousness, wheezing sounds, flushed complex-ion, feverish sensation of body, irritability) were assested on the 3rd and 7th day of treatment. Results: The number of survival patients were 98/97 cases and 94/87 cases in treatment and control group respectively, and the symptomatic improvement was more marked in the treatment group ( P<0.05) . Conclusion: The comprehensive saving including TCM therapy achieve a better symptomatic improvement in MCH, especially those with yang - bi syndrome. It ex-erts heat - clearing, liver - calming, blood - stasis - removing, phlegm - expelling, fu - organ - dredging and resuscitating effect, which accord with the pathogenesis of MCH.