益气活血冲剂治疗弥漫性轴索损伤对格拉斯哥评分的影响

Effect of Yiqi Huoxue Granules on Treatment of Diffuse Axonal Injury and Glasgow Coma Scale

目的观察中西医结合治疗弥漫性轴索损伤的疗效,探讨益气活血冲剂口服后对格拉斯哥(Glasgow)计分的影响。方法将62例弥漫性轴索损伤的患者,随机分为治疗组和对照组,每组各31例,对照组采用常规的脱水降低颅内压、止血药物的运用、护脑治疗及维持水电解质的平衡。治疗组在对照组的基础上加用益气活血冲剂口服,两组疗程一个月,治疗后评定疗效。结果治疗组与对照组治疗前后Glasgow评分组内比较差异有统计学意义(P<0.05);两组治疗后比较,差异有统计学意义(P<0.05);两组总显效率平均为75.16%和35.48%,差异有统计学意义(P<0.05)。结论中西医结合治疗弥漫性轴索损伤有促进患者康复的作用。

Objective To observe the clinical effect of integrated treatment of traditional Chinese medicine and Western medicine on diffuse axonal injury, and to explore influence of oral Yiqi Huoxue granules on glasgow coma scale. Methods Sixty-two patients with diffuse axonal injury were randomly divided into treatment group and control group, 31 cases in each group. The control group was applied with the routine treatment of hemostasia, dehydration to lower encephalic pressure, anti-infection, hemostasis, liquid, electrolyte and acid-alkali balancing, and brain-protection. On the basis of the control group, the treatment group was given the oral adiministration of Yiqi Huoxue granulas. The course of the two groups was for one month, the effect was evaluated after treatment. Results The glasgow coma scale before and after treatment of the two groups was statistically significant （P〈0.05）, the scale between two groups after treatment was statistically significant （P〈0.05）. The average of the total markedly effective rate of treatment group and control group was 75.16% and 35.48%, respectively, the difference was stastically significant （P〈0.05）. Conclusion The integrated treatment of traditional Chinese medicine and Western medicine is able to accelerate absorption of haematoma and alleviate the symptoms of rehabilitation patients.