补阳还五汤治疗颅脑损伤气虚血瘀证疗效观察

Clinical Observation of Buyanghuanwu Decocition on Craniocerebral Injury with Syndrome of Qi Deficiency with Blood Stasis

目的观察补阳还五汤治疗颅脑损伤气虚血瘀证的临床疗效。方法 65例颅脑损伤亚急性期气虚血瘀证患者随机分为两组,对照组33例予以西医常规治疗,治疗组32例在西医常规治疗的基础上口服或鼻饲补阳还五汤煎剂,疗程均为30d;比较两组治疗后格拉斯哥昏迷量表(GCS)评分、治疗1个月后格拉斯哥预后评分法(GOS)评分、苏醒率、觉醒时间。结果治疗后治疗组GCS评分较对照组明显提高,差异有统计学意义;治疗3个月治疗组GOS评分比较对照组明显提高,差异有统计学意义;治疗组苏醒率较对照组明显提高、觉醒时间较对照组明显缩短,差异有统计学意义。结论补阳还五汤治疗颅脑损伤气虚血瘀证有一定疗效。

Objective：To observe the therapeutic effects of Buyanghuanwu Decoction on craniocerebral injury with syndrome of qi deficiency with blood stasis.Methods：65 subacute craniocerebral injury patients with syndrome of qi deficiency with blood stasis were divided into two groups.The control group involving 35 cases was given the routine western medicine therapy.The treatment group involving 33 cases was added the Buyanghuanwu Decoction for nasal or oral feeding.After the treatment courses for 30 days,the GCS,the GOS,the recovery rate and the consciousness time were observed.Results：After treatment,the GCS score in the treatment group was increased more significantly than that in the control group.After 3 months,the GOS score of the treatment group was improved more remarkably than that of the control group.The recovery rate was increased more obviously and the consciousness time was decreased more significantly in the treatment group.There were some statistical differences in above indices between two groups.Conclusion：The Buyanghuanwu Decoction has definite therapeutic effect on the craniocerebral injury patients with syndrome of qi deficiency with blood stasis.