中西医结合防治重型颅脑损伤并发上消化道出血疗效对比观察

Comparision of Western and traditional Chinese medicine in preventing upper gastrointestinal hemorrhage in severe brain injury patients

目的 确定重型颅脑损伤患者超早期鼻饲中药防治并发上消化道出血的疗效并探讨其作用机理。方法 对200例重型颅脑损伤病人分两组,100例行常规西医疗法;另100例为中西结合治疗组,病人在伤后8小时内鼻饲中药“复方承气汤”等中西医结合治疗,观察防治并发上消化道出血的效果。结果 常规西药组上消化道出血发生率为45％。而早期鼻饲中药的中西药结合组发生率为5％。结论 超早期的中西结合组防治重型颅脑损伤的并发上消化道出血有显著的疗效,它能减少上消化道出血的发生。

Objective The study is intended to observe the effect of super - early - stage nasal feeding of traditional Chinese medicine on preventing upper gastrointestinal hemorrhage in severe brain injury patients. Methods and Results We evaluated 200 patients with severe brain injury and classified them into two groups. One group received routine therapy, the other were given nasal feeding of traditional Chinese medicine, complex prescription ' cheng qi' broth, within 8 hours after injury. The incidence of upper gastrointestinal hemorrhage in routine group was 45 % , while that of the feeding group was 5 % . Conclusion The results show that there are significantly therapeutic effect of super - early - stage combined western and traditional Chinese medicine on preventing upper gastrointestinal hemorrhage in severe brain injury patients.