综合疗法治疗急性脑出血的效果分析

Effect of Comprehensive Therapy on Acute Cerebral Hemorrhage

目的:探讨综合疗法治疗急性脑出血的临床效果。方法:选择2015年3月-2016年10月80例急性脑出血患者,随机分为治疗组和对照组,各40例。对照组给予降低颅内压、调控血压、防治并发症等常规治疗,治疗组在对照组基础上给予醒脑静注射液等综合治疗。比较两组疗效、脑水肿面积与血肿体积,记录两组美国国立卫生研究院卒中量表(NIHSS)评分和格拉斯哥昏迷评分(GCS)。结果:治疗组有效率为97.50%,显著高于对照组的85.00%,差异有统计学意义(P<0.05)。治疗后,治疗组脑水肿面积与血肿体积均低于对照组,差异有统计学意义(P<0.05);治疗组NIHSS评分显著低于对照组,差异有统计学意义(P<0.05);治疗组GCS评分显著高于对照组,差异有统计学意义(P<0.05)。结论:综合疗法可明显提高急性脑出血患者的疗效,减少脑水肿面积与血肿体积,改善神经功能缺损程度和意识状态。

Objective： To investigate the clinical effect of comprehensive therapy on acute cerebral hemorrhage.Method： 80 patients with acute cerebral hemorrhage selected from March 2015 to October 2016＇ were randomly divided into the treatment group（n=40） and the control group（n=40）.The control group was given reducing intracranial pressure, controlled blood pressure, prevention of complications and other conventional treatment, the treatment group was given Xingnaojing injection therapy on the base of the control group.The effect of the two groups, the area of brain edema and hematoma volume were compared between the two groups, and the National Institutes of Health Stroke Scale（NIHSS） score and the Glasgow Coma Scale（GCS） were recorded in the two groups.Result： The curative effect in the treatment group was significantly higher than that in the control group（P〈0.05）.The area of edema and hematoma volume in the treatment group were significantly lower than those in the control group（P〈0.05）.The NIHSS scores in the treatment group were significantly lower than those in the control group（P〈0.05）, and the GCS scores in the treatment group were significantly higher than those in＇the control group（P〈0.05）.Conclusion： Comprehensive therapy can improve the curative effect, reduc- the area of brain edema and hematoma volume, improve the degree of neurological deficit and consciousness in patients with acute cerebral hemorrhage.