通腑化痰法治疗脑出血急性期30例疗效观察

Treatment of Acute Cerebral Hemorrhage of Tongfu Huatan Therapy:A Clini- cal Observation of 30 Cases

目的:观察通腑化痰法治疗脑出血急性期的临床疗效。方法:将60例患者随机分为2组各30例,对照组采用西医综合疗法治疗,治疗组在对照组治疗基础上加用通腑醒神胶囊(处方:番泻叶、虎杖、人工牛黄、天竺黄)治疗,观察治疗后2组神经功能缺损评分、脑血肿体积、血肿周围水肿体积差异。结果:2组治法均可明显改善患者神经功能、减小脑血肿体积,但治疗组在基本治愈率、总有效率及神经功能的改善方面较对照组更优,2组比较,差异有显著性或非常显著性意义(P＜0.05,P＜0.01)。结论:通腑化痰法的早期使用可明显促进脑血肿的吸收,改善患者神经功能,对患者的远期功能恢复有积极的意义。

Objective:To observe the clinical effect of Tonggfu Huatan therapy (THT)for acute cerebral hemorrhage(ACH).Methods:60 cases were allocated to 2 groups randomly.The control group(30 cases)was treated by TCM combined with westem medicine,the treatment group by adding with Tongfu Xingshen capsules (TXC.通腑醒神胶囊),the TXC:S composed of Folium Sennae,Rhizoma Polygoni Cuspidati,Artificial Calculus Boris and Concretio Siticea Bambosae.The scoring of nerve function defect,volume of cerebral hematoma and the different edema around hematoma were observed after treatment in both groups.Results:The nervous func- tion was markedly improved and the volume of cerebral edema was reduced in both groups but more prominent in treatment group(P＜0.05).Conclusion:Early appli- cation of THT can markedly promote the absorption of cerebral edema,improve ner- vous function and play a positive role for the long-term recovery.