摘要
目的总结近年来山西医科大学第一医院采用早期(6h内)微创手术及术后服用自行研制的纯中药制剂脑卒中Ⅰ号的综合疗法治疗脑出血的临床应用价值。方法脑出血病人120例,入院后随机分到治疗组和对照1组、对照2组。对照1组在行传统外科手术治疗后,行常规西医内科治疗。对照2组在行早期微创外科脑血肿清除术后,仅行常规西医内科治疗。治疗组在早期微创外科血肿清除术后,常规西医治疗基础上加服纯中药制刑脑卒中Ⅰ号,服用1个疗程20d。治疗20d、40d后进行疗效评价及病人术后3个~12个月根据日常生活(ADL)能力进行随访结果比较。结果治疗组总有效率为93.0%和显效率为83.7%,对照1组的总有效率为44.4%、显效率为38.9%,对照2组的总有效率为70.7%、显效率为63.4%.3组间两两比较均有统计学意义(P〈0.05)。随访结果显示:3组中ADL1-ADL3级所占百分比分别为28.1%、53.8%、76.2%,进行组间比较,有统计学意义(P〈0.05)。结论早期(6h)实施微创手术治疗脑出血效果优于传统外科手术治疗脑出血,加用脑卒中Ⅰ号制剂结合早期微创手术的综合治疗脑出血有明显的临床效果。
Objective To study the effect of the micro-wound operation and the traditional surgical therapy with Naozuzhong I for cerebral hemorrhage. Methods One - hundred and twenty patients with cerebral hemorrhage were divided randomly into treatment group ( n = 43) treated by micro- wound operation with traditional Chinese drug Naozuzhong Ⅰ , control groupl (n = 36) treated by the traditional sur gical intervention and routine medical treatment and control group 2 (n = 41 ) by micro- wound operation and routine medical treatment. Results The total effective rates was 93.0 % and the excellence rates was 83.7% in treatment group, that was 44.4% and 38.9% in Control group 1, that was 70.7 % and 63.4 % in control group 2 (P 〈 0.05). Conclusion The effect of micro - wound operation for cerebral hemorrhage was better than that by traditional surgical intervention. The micro- wound operation with Naozuzhong Ⅰwas the best way for cerebral hemorrhage.
出处
《中西医结合心脑血管病杂志》
2006年第12期1055-1057,共3页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease