化痰通腑方治疗脑出血22例疗效观察

Effects of Huatanpingchuan decoction on cerebral hemorrhage

目的:观察化痰通腑方治疗脑出血的临床疗效。方法:42例脑出血患者分为两组,对照组20例采取卧床、脱水降颅压、止血药用2～3d,维持水、电解质平衡;观察组22例在对照组治疗的基础上应用自拟化痰通腑方随证加减,每日1剂口服或鼻饲,10～15d为1个疗程。比较两组治疗效果。结果:观察组显效6例,好转15例,无效1例,总有效率为95.45%;对照组显效2例,好转11例,无效7例,总有效率为65.00%;两组总有效率差异有统计学意义(P<0.05)。观察组、对照组平均住院时间分别为16.8、24d,差异有统计学意义(P<0.05)。结论:化痰通腑方综合了醒脑开窍、通络攻下等法,对脑出血的治疗确能起到促苏醒、退中枢性高热等作用,并能降低并发症发生率,减少总住院费用。

Objective： To observe the clinical efficacy of Huatanpingchuan decoction on cerebral hemorrhage. Methods： A total of 42 cases with cerebral hemorrhage were randomly divided into two groups by half. Patients in control group were treated by conventional treatment including bedding, decreasing intracranial pressure with dehydration, administrating anthemorrhagic drugs for 2-3 days and keeping waterelectrolyte balance. While patients in observation group were treated by oral or nasal administration of Huatantongfu decoction on the basis of conventional treatment, with 10-15 days as a course. Result： Six ca- ses were cured, 15 cases showed improvements, and 1 cases showed no response,the total efficiency of the observation group was 95.45% ; while in the control group 2 cases were cured, 11 cases were improved, and 7 cases were ineffective, and the total efficiency was 65.00%. There was significant difference in total efficacy between two groups （P〈0.05）. Conclusions, Huatanpingchuan decoction can help to restore consciousness, remove meridian obstruction, promote purgation to resuscitate and improve central high fever. It also can reduce incidence of complication, and decrease hospitalization expense.