自拟脑血灵汤剂治疗脑出血55例临床观察

Clinical observation of self-made Nao Xueling decoction in treating 55 cases with cerebral hemorrhage

目的:观察脑血灵在脑出血治疗中的作用。方法:纳入111例脑出血住院患者,随机分为治疗组56例,对照组55例,2组治疗均根据患者出血量多少、颅内压(ICP)高低、意识状态适当应用脱水,预防感染、补充电解质等西药治疗。治疗组加服自拟中药汤剂脑血灵,1剂/d,水煎分2次服,昏迷病人或球麻痹患者可鼻饲。治疗28d统计疗效。结果:治疗组有效率89.29%,对照组69.09%。治疗组优于对照组(P<0.05)。治疗14d、28d后,复查头颅CT,2组出血量吸收对比,差异有统计学意义(P<0.05或<0.01),说明治疗组血肿吸收显著优于对照组。结论:加服自拟脑血灵汤剂治疗脑出血能明显提高疗效,加速血肿吸收。

Objective： To observe the effect of cerebral blood Ling in the treatment of cerebral hemorrhage. Meth- ods： 111 cases of cerebral hemorrhage were selected, randomly divided into treatment group 56 cases, control group 55 cases, the two groups were treated according to the amount of bleeding, intracranial pressure（ICP） level, the appropri- ate application of the consciousness state of dehydration, prevention of infection, supplementary electrolyte and other Western medicine treatment. The treatment group with Decoction of brain blood spirit, daily a agent, water frying points in two suits, coma or bulbar paralysis patient can feeding. Results： The efficiency of the treatment group was 89.29%, the control group was 69.09%. Treatment group than the control group （P 〈0.05）. After treatment for 14 days and 28 days, reviewing of head CT, 2 groups bleeding absorption contrast, the difference was statistically significant （P 〈0.05 or 〈0.01）, indicating that the treatment group hematoma absorption was significantly better than control group. Conclu- sion： cerebral hemorrhage can significantly reduce the mortality, improve the cure rate, reduce the rate of disability.