中西医结合治疗高血压脑出血术后患者35例

Treatment for 35 Patients after the Surgery of Hypertensive Cerebral Hemorrhage by Integrative Medicine

目的:观察中西医结合疗法治疗高血压脑出血术后患者的临床疗效。方法:将70例患者随机分为观察组、对照组各35例。2组均在急诊全麻下行开颅血肿清除术,术后给予特级护理、吸氧、止血、脱水降颅压、支持、脑保护、抗生素预防感染等治疗。观察组于术后第3天开始,在鼻饲肠内营养物质的同时给予平肝止血汤,1剂/d,分2次鼻饲,连用14天。结果:总有效率观察组为94.29%,对照组为77.14%,2组比较差异有统计学意义(P<0.05)。神经功能缺损程度评分治疗后对照组为(17.16±4.47)分,观察组为(11.24±3.62)。2组比较差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论:中西医结合疗法治疗高血压脑出血术后患者的临床疗效显著,神经功能恢复良好,并发症少。

Objective： To survey curative effects of integrative therapy in treating the patients after the surgery of hypertensive cerebral hemorrhage. Methods： Seventy patients were divided into the observation group and the control group randomly, 35 cases each group. Both groups received intracranial hematoma clearance under general anesthesia and the therapies including intensive care, oxygen uptake, hemostasis, and intracranial decompression by dehydrating, support, cerebral protection, antiobiotics against infection and others after the operation. The observation group began to take Ping Gan Zhi Xue Tang at the third day after the operation when they were given enteral nutrition by nasal feeding, one dose each day, twice, for 14 days consecutively. Results： Total effective rate of the observation group was 94.29%, higher than 77.14% of the control group, the difference showed statistical meaning between both groups（P〈0.05）. Neurological deficiency scores（NDS） of the control group was（17.16±4.47）, higher than（11.24±3.62） of the observation group. The difference demonstrated statistical meaning（P〈0.05）. The observation group was lower than the control group in the complication incidences（P〈0.05）. Conclusion： Integrative medicine therapy could obtain notable effects in the treatment for the patients after the surgery of hypertensive cerebral hemorrhage with good recovery of neurological function and fewer complications.