活血化瘀法治疗脑出血急性期41例临床观察

Clinical Observation on 41 Cases of Cerebral Hemorrhage on Acute Stage Treated with Principle of Promoting Blood Circulation By Removing Blood Stasis

笔者用回顾性方法，对４１例脑出血急性期的患者在中医辨证施治及西药对症处理的同时，加用具有活血化瘀作用之品，开始使用活血药的时间分别为发病后６ｈ以内，６～２４ｈ，２４～７２ｈ，７２ｈ以上，治疗时间平均１６．６天。结果基本治愈４例，显著进步１１例，进步２０例，无效２例，死亡４例，总有效率８５．４％。经统计学处理结果表明，疗效好坏与开始使用活血药的时间无关（Ｐ＞０．０５），而与病情轻重程度密切相关（Ｐ＜０．０１）。文献资料及本组结果说明，活血化瘀法可用于脑出血急性期，乃至超急期。

By retrospective way, 41 cases of cerebral hemorrhage on acute stage were diagnosed and treated based on differentiation of symptoms and signs of TCM, plus symptomatic treatment of Western Medicine, meanwhile drugs which had effect on promoting blood circulation by removing blood stasis were used. The drugs of promoting blood circulation were used within 6 hours, 6-24 hours, 24-72 hours, or more than 72 hours after the attack. Average treating course was 166 days. The results showed that 4 cases were cured, 11 cases significant improved, 20 improved, 2 unchanged and 4 died. The total effective rate was 854%. It indicated that the curative effect had no relation with the time when the drugs began to be used(P>005), but had close relation with the degree of the disease (P<001). The historical document, and the result of this study suggested that the principle of promoting blood circulation by removing blood stasis had effect on cerebral hemorrhage on acute stage, even on hyperacute stage.