中西医结合治疗脑出血的临床研究

Clinical Study of Cerebral Hemorrhage Treated with Traditional Chinese Medicine and Western Medicine

目的 研究中西医结合治疗脑出血的临床疗效；方法 根据中医辨证施治原则，以活血化瘀、攻下逐水为主要治则，制成中药口服制剂，用中西医结合疗法治疗脑出血１２０ 例，并与单用西药治疗组做对照，观察临床疗效及血肿吸收情况；结果 中西医结合治疗组有效率８０．８％ ，死亡率１５．８ ％ ；而对照组有效率５１％ ，死亡率４４％ （Ｐ＜０．０１），有显著性差异；４～６ 周血肿完全吸收率： 对照组６６．７ ％ ，治疗组１００ ％ ，有显著性差异（ Ｐ＜ ０．０１） ；结论 中西医结合治疗脑出血可提高治愈率，降低死亡率，并有促进血肿吸收的作用。

Objective To investigate the effect of combined traditinal Chinese medicine with western medicine to treat cerebral hemorrhage. Methods We made Chinese medical preparation,depending traditional Chinese medicine theory, on which dignosis and treatment were given on an overall analysis of the illness and the patient's condition,and 120 cases of cerebral hemorrhage were treated with the preparation and western medicine,and comparing with the patients only with western medicine. Results In the therapeutic group: the response rate was 80.8%;mortality, 15.8%; absorption rate of hematorma after 4～6 weeks, 100%.The control group:the three rates were respectively 51%,44% and 66.7%( P<0.01). Conclusion Combined traditional Chinese medicine with western medicine treating cerebral hemorrhage may increase cure rate,reduce mortality and promote absorption of hematorma.