中西医结合治疗颅脑外伤综合征临床效果研究

Clinical effect study on traumatic brain injury syndrome treated with integrative medicine

目的：探讨中西医结合治疗颅脑外伤综合征的疗效。方法回顾性分析2012年11月~2014年6月间来我院就诊的颅脑外伤综合征患者162例，按照治疗方法不同分为两组，对照组和观察组各81例。对照组采用西医治疗，给予包括止血、降颅压、防治感染、神经营养支持等在内的常规治疗，观察组采用中西医结合治疗，即在对照组治疗基础上加用活血化瘀汤治疗。比较两组患者的临床疗效及脑血流变化程度。结果观察组总有效率为91.36%，对照组为76.54%；观察组脑血流改善率为88.89%，对照组为75.31%，观察组较对照组治疗总有效率、脑血流改善率明显较高，差异有统计学意义（P＜0.05）。结论颅脑外伤综合征患者采用中西医结合方法治疗疗效显著，可显著提高治疗总有效率，明显改善脑血流，可作为一种有效的治疗方法在临床推广应用。

Objective To evaluate the efficacy of traumatic brain injury syndrome treated with integrative medicine. Methods A total of 162 cases with traumatic brain syndrome collected from November 2012 to June 2014 in our hos-pital were retrospective analyzed, and they were divided into control group and observation group according to different treatment methods, each group had 81 cases respectively, the control group was treated with western medicine, they were given conventional treatment, including stanch bleeding, reducing intracranial pressure, prevent infection, nerve nutritional support and so on, the observation group was treated with the combination therapy, they used huoxuehuayu-tang on the bases of the control group. The clinical efficacy and the extent of changes in cerebral blood flow of two groups were compared. Results The total effective rate of the observation group was 91.36%, while the control group was 76.54%, The improvement in cerebral blood flow in the observation group was 88.89%, the control group was 75.31%, the total efficiency and improvement in cerebral blood flow of the observation group was significantly higher than that of the control group, the difference between the two groups was significant （P〈0.05）. Conclusion Syndrome patients with traumatic brain injury integrative method of treatment effect is significant, can significantly improve the overall efficiency of the treatment, significantly improve cerebral blood flow, can be used as an effective treatment method in clinical application.