犀角地黄汤加味治疗出血性中风急性期62例临床观察

Clinical observation on treating 62 cases of acute hemorrhagic stroke with Xijiao Dihuang decoction

出血性中风也就是脑出血，是因为脑实质内血管破裂出血造成的。脑出血的常见原因为高血压、动脉硬化、脑血管畸形等，多发于中老年人，男性多于女性。脑出血往往发病突然，病程进展迅速，严重时在数分钟或数小时内恶化。病人出现意识障碍、偏瘫、呕吐和大小便失禁，并有头痛和血压升高。临床常用西药甘露醇降压配合神经营养药对症治疗，若出血量较多时（大于30m1），配合颅内血肿钻孔引流术治疗，但效果不够理想，往往治疗时间较长，病人遗留较多后遗症。自2006年6～2009年6，我科用犀角地黄汤（以下药品以三九免煎中药为例）加味治疗脑出血急性期62例，与单纯用西药40例做对照观察。现报告如下。

Hemorrhagic stroke is intracerebral hemorrhage, is due parenchymal blood vessels rupturebleeding caused. Reason of intracerebral hemorrhage is hypertension, arteriosclerosis,cerebral vascular malformation etc.,more often in The elderly, more men than women. Sudden onset, rapid progression of course of disease, serious deterioration in within minutes or hours. Patient presented disturbance of consciousness, hemiplegia, vomiting and incontinence, have headaches and high blood pressure. Clinical using Ganluchun for step-down plus neurotrophic drugs, if the bleeding more time （more than 30ml）, plus drill drainage of intracranial hematoma, but don＇t have a good effect, patient left more sequel. From 2006.6 - 2009.6, the departments treating 62 cases of acute hemorrhagic stroke with Xijiao Dihuang decoction, 40 cases with simple western medicine do with the control observation. These are as follows.