补阳还五汤联合微创颅内血肿清除术治疗高血压性脑出血38例疗效观察

Clinical observation on treating 38 cases of HICH with the decoction plus minimally invasive evacuation

目的:观察补阳还五汤联合微创颅内血肿清除术治疗高血压性脑出血的临床疗效。方法:按入院顺序将符合标准的76例患者分为观察组和对照组,对照组38例,采取西医常规处理,使用微创颅内血肿清除术治疗。观察组38例,在对照组基础上加用中药补阳还五汤治疗。结果:观察组基本痊愈4例(10.53%),总有效率84.21%。对照组基本痊愈2例(5.26%),总有效率60.52%。两组比较,总有效率差异有显著性意义(P<0.05)。结论:中药补阳还五汤联合微创颅内血肿清除术治疗高血压性脑出血,能改善患者神经功能缺损评分,疗效优于单纯西医治疗。

Objective： To observe the clinical effect on treating HICH （hypertensive intercerebral hemorrhage） with the BuyangHuanwu decoction combined with minimally invasive evacuation of intracranial hematoma. Methods： 76 patients were divided into observation group and control group, 38 cases in the control group, routine modem medical treatment, were treated by the minimally invasive evacuation of intracranial hematoma. 38 cases in the observation group, were treated with the BuyangHuanwu decoction based on the control group treatment. Results： The observation group 4 cases were basically cured （10.53%）, the total efficiency of 84.21%. The control group 2 cases were cured （5.26%）, the total efficiency of 60.52%. The comparison between the 2 groups, the total efficiency had significant difference （P〈0.05）. Conclusion： Treating HICH with the BuyangHuanwu decoction plus minimally invasive evacuation of intracranial hematoma,can improve the score of neurologic impairment, curative effect is better than the pure modem medicine treatment.