早期适量放血疗法治疗高血压中小量脑出血38例

Blood Letting Therapy in the Treatment for 38 Cases of Moderate or Small Amount of Hypertensive Intracerebral Hemorrhage at Early Stage

目的:观察早期适量放血疗法治疗中小量高血压脑出血的临床疗效。方法:将68例急性高血压性脑出血患者随机分为2组。治疗组38例西医内科常规治疗,同时配合早期一次性适量放血治疗;对照组30例采用西医内科常规治疗。2组均以治疗28天为1个疗程。观察2组患者治疗前后神经功能缺损积分变化情况及血肿吸收情况。结果:基本治愈率治疗组为26.32%,对照组为16.67%,2组相比差异有统计学意义(P<0.05);总有效率治疗组为94.74%,对照组为86.67%,2组相比差异有统计学意义(P<0.05);治疗后2组神经功能缺损积分均降低(P<0.05),且治疗组降低较对照组明显(P<0.05);治疗组血肿吸收率较对照组明显,差异有统计学意义(P<0.05)。结论:早期西医内科常规治疗同时配合一次性适量放血治疗中小量高血压性脑出血能降低神经功能缺损积分,促进颅内血肿吸收。

Objective： To observe clinical efficacy of blood letting therapy in the treatment for moderate or small amount of hypertensive intracerebral hemorrhage （HICH）. Method： All 68 cases were randomized into two groups. 38 cases in treatment group received conventional western medicine, at the same time blood letting therapy at early stage with appropriate amount of bleeding; 30 cases in control group were treated with routine western medicine. Twenty-eight days were one session. Absorption of hematoma and scores of neurologic impairment were observed before and after treating. Result： Basic cure rate of treatment group was 26.32%, higher than 16.67% of control group with statistical meaning （P〈0.05）; total effective rate of treatment group was 94.74%, higher than 86.67% of control group with statistical meaning （P〈0.05）. After treating, scores of neurologic impairment in both groups decreased （P〈0.05）, compared with control group, score of neurologic impairment decreased remarkably in treatment group （P〈0.05）. Compared with control group, absorptivity of hematoma rose obviously in treatment group and the difference had statistical meaning （P〈0.05）. Conclusion： Conventional western medicine and blood letting therapy early in treating moderate or small amount of hypertensive intracerebral hemorrhage can lower scale of neurologic impairment and promote the absorption of hematoma.