综合治疗高血压性脑出血120例疗效观察

Therapeutic efficacy of complex therapy in hypertensive cerebral hemorrhage in 120 cases

目的 观察综合治疗对高血压性脑出血急性期的疗效,探索有效治疗方法。方法 将2 40例高血压性脑出血患者随机分为两组,综合治疗组采用颅内血肿微创清除术、康复训练、西医治疗和中药三七散治疗;西医治疗组则采用微创手术加西医治疗。两组各12 0例,治疗时间均为2 8d ,比较两组疗效。结果 综合治疗组血肿吸收率为(98.17±6.3 2 ) % ,临床治愈率为43 3 3 % ,总有效率为96.67% ;西医治疗组血肿吸收率为(87.60±5 .84) % ,临床治愈率为3 0 .0 0 % ,总有效率为88.3 3 %。综合治疗组疗效优于西医治疗组(P <0 .0 5 )。结论 综合治疗可提高高血压性脑出血患者的生存率,缩短病程,减少致残率,提高生活质量。

Objective To observe the curative effects of the complex therapy in treating hypertensive cerebral hemorrhage and to investigate the effective methods. Methods A total of 240 patients with hypertensive cerebral hemorrhage were randomly divided into two groups (n=120 in each group). The patients in complex therapy group were treated with complex therapy including minimally invasive debridement of intracranial hematoma, rehabilitation training, western medicine and traditional Chinese medicine (Sanqi powder). Those patients in western medicine treatment group were treated with minimally invasive surgery and western medicine. The time for treatment in both groups was 28 d. The curative effects in the two groups were compared. Results The absorption rate, the clinical healing rate, and total effective rate in the treatment group were (98.17±6.32)%, 43.33%, and 96.67%, respectively, but those in the control group were (87.60±5.84)%, 30.00%, and 88.33%. There was significant difference between the two groups (P<0.05). Conclusion Complex therapy could increase the survival rate, improve the quality of life, and shorten the disease course and disability incidence of patients with hypertensive cerebral hemorrhage.