微创穿刺术配合中药治疗慢性硬膜下血肿的临床效果观察

Clinical observation on treating CSDH by minimally invasive surgery plus TCM medicine

目的:探讨微创穿刺术配合中药治疗慢性硬膜下血肿的临床疗效。方法:选取2016年1月-2017年1月我院收治的80例慢性硬膜下血肿患者作为观察研究对象。采用随机数字表法将其分为观察组与对照组,对照组40例患者单纯接受微创穿刺血肿清除术治疗,观察组40例患者则在对照组治疗方案基础上联合应用自拟中药方剂,比较两组患者治疗效果及临床预后情况。结果:观察组患者治疗后总有效率明显高于对照组,P<0.05,差异具有统计学意义;治疗前两组患者神经功能缺损(CSS)评分比较无显著差异(P>0.05),治疗后均较治疗前明显降低,但观察组患者治疗后CSS评分明显低于对照组,P<0.05,差异具有统计学意义;观察组患者血肿吸收时间明显短于对照组,P<0.05,差异具有统计学意义。结论:采用微创穿刺血肿清除术配合辨证中药施治可有效提升慢性硬膜下血肿临床治疗效果,对改善患者神经功能缺损及加快血肿吸收具有积极作用。

Objective： To investigate the clinical efficacy of minimally invasive surgery plus TCM medicine on chronic subdural hematoma. Methods： 80 patients with chronic subdural hematoma admitted were selected as observation objects and divided into the observation group and control group. In the control group, 40 patients were treated by minimally invasive puncture hematoma evacuation. In the observation group, 40 patients were treated with TCM medicine more. Results： The total efficiency in the observation group was significantly higher（P〈0.05）. The CSS scores were decreased more after treatment, and those in the observation group were significantly lower than those in the control group（P〈0.05）. Time of hematoma absorption in the observation group was significantly shorter than the control group, P〈0.05. Conclusion： Minimally invasive surgery plus TCM medicine on chronic subdural hematoma was effective, and has a positive effect on improving the neurological deficit and accelerating the absorption of hematoma.