中西医结合治疗急性颅脑外伤患者的临床对照研究

目的结合临床实践经验,探讨中西医结合治疗急性颅脑外伤伴颅内血肿患者的临床疗效。方法选取2008年1月～2009年12月期间收治的129例急性颅脑外伤伴颅内血肿患者为研究对象,随机分为3组,每组43人,分别采用中医、西医、中西医结合的方式进行治疗,比较3组患者的疗效。结果中医组和西医组的总体有效率差别无统计学意义,而两者与中西医结合组的总体有效率差别有统计学意义,中西医结合组的疗效明显优于中医组、西医组。中医组和西医组的血肿消失时间直接差别无统计学意义,中西医结合组的血肿消失时间明显少于中医组和西医组,差别有统计学意义,提示了中西医结合治疗的优越性。结论中西医结合治疗急性颅脑外伤伴颅内血肿疗效明显而确切,可缩短疗程和减少患者的医疗费用,值得推广应用。

Objective Clinical practice experience of integrated traditional and western treatment of acute brain injury with intracranial hematoma in patients with clinical efficacy.Methods In the hospital,from January,2008 to December,2009,129 patients admitted to our hospital with acute brain injury patients with intracranial hematoma subjects were randomly divided into three groups,43 were used chinese medicine,western medicine chinese and western medicine as the way for treatment,the efficacy of three groups of patients.Results Chinese medicine and western medicine group,overall there was no significant difference in efficiency,both of Integrated traditional and western group and the overall statistically significant difference in efficiency,combining chinese and western medicine group,significantly better than group,western group.Chinese medicine and western medicine group,the disappearance time of hematoma was no significant difference between direct,integrative medicine hematoma group was significantly less than the disappearance time of chinese medicine and western medicine group,the difference was statistically significant,suggesting the superiority of integrative medicine.Conclusion Integrative treatment of acute brain injury with intracranial hematoma was effective and precise,can shorten the course of treatment and reduce health care costs of patients,especially worth promoting.