颅内血肿钻孔引流术后早期应用补阳还五汤治疗高血压脑出血的效果观察

Effect observation of early application of Buyang Huanwu decoction in the treatment of hypertensive cerebral hemorrhage after the operation of drilling drainage

目的：探讨高血压脑出血患者行钻孔引流术后早期应用补阳还五汤的效果。方法选取本院2013年3月～2015年2月收治的150例高血压脑出血患者作为研究对象，随机分为治疗组和对照组，各75例。对照组采用颅内血肿钻孔引流术，并给予西医常规治疗，治疗组在对照组的基础上给予补阳还五汤加减鼻饲或口服，观察两组的效果。结果治疗组的意识清楚者所占比例显著高于对照组，意识恢复时间显著短于对照组，差异有统计学意义（P〈0.05）。治疗组的肢体肌力恢复情况显著优于对照组，差异有统计学意义（P〈0.05）。治疗组的语言清晰者所占比例显著高于对照组，差异有统计学意义（P〈0.05）。治疗组的痊愈率、愈显率及总有效率显著高于对照组，差异有统计学意义（P〈0.05）。结论高血压脑出血行颅内血肿钻孔引流术患者早期应用补阳还五汤治疗的效果明显优于单纯手术治疗。

Objective To explore the effect of early application of Buyang Huanwu decoction in the treatment of hyper-tensive cerebral hemorrhage after the operation of drilling drainage. Methods 150 patients with hypertensive cerebral hemorrhage from March 2013 to February 2015 in our hospital were selected and randomly divided into the treatment group and the control group,75 cases in each group.The control group was treated with drilling drainage and taken care of in routine treatment of western medicine,the treatment group was treated with Buyang Huanwu decoction by orally or nasal feeding on the basis of the control group.The effect in two groups was compared. Results The proportion of con-scious awareness in the treatment group was higher than that in the control group,the recovery time of the conscious-ness in the treatment group was shorter than that in the control group,with significant difference （P〈0.05）.The recovery condition of limb muscle strength in the treatment group was better than that in the control group,with significant differ-ence （P〈0.05）. The proportion of language clarity in the treatment group was higher than that in the control group,with significant difference （P〈0.05）.The cure rate,the healing rate and the total effective rate in the treatment group was higher than that in the control group,with significant difference （P〈0.05）. Conclusion The curative effect of early appli-cation of Buyang Huanwu decoction in the treatment of hypertensive cerebral hemorrhage after the operation of drilling drainage is significant better than that in simple surgical treatment.