中医活血化瘀法治疗脑出血患者的临床疗效

Clinical Efficacy of Traditional Chinese Medicine for Promoting Blood Circulation and Removing Blood Stasis in Treating Patients with Cerebral Hemorrhage

目的分析脑出血疾病接受中医活血化瘀法治疗的临床应用价值。方法该次选择2017年2月—2019年1月该院收治的脑出血患者153例为研究对象,根据奇偶数法分为观察组与对照组,对照组患者单纯辅以常规治疗,观察组患者辅以中医活血化瘀法治疗,比较临床疗效,评估并分析各组患者治疗前后血肿体积、神经功能、生活质量等差异。结果观察组患者总有效率明显高于对照组,差异有统计学意义(χ^2=6.28,P<0.05)。两组患者未实施治疗前,血肿体积、神经功能相关评分差异无统计学意义(P>0.05),经一段时间治疗后,各组患者病情均有所好转,观察组血肿体积(4.34±0.22)cm^3小于对照组,差异有统计学意义(P<0.05),NIHSS评分(1.03±0.02)分、MRS评分(1.14±0.03)分、CSS评分(4.21±0.04)分均明显低于对照组,差异有统计学意义(P<0.05),GOS评分(3.37±0.19)分、Barthel评分(9.04±0.06)分高于对照组,差异有统计学意义(t=35.22、25.44,P<0.05)。结论脑出血患者接受中医活血化瘀法治疗效果更佳,可改善患者神经缺损问题,提高生活质量,值得临床应用。

Objective To analyze the clinical application value of cerebral hemorrhage disease treated by traditional Chinese medicine for promoting blood circulation and removing blood stasis. Methods From February 2017 to January 2019, 153 patients with cerebral hemorrhage were enrolled in our hospital. The patients were divided into observation group and control group according to the odd-even method. The control group was supplemented with conventional therapy alone. The traditional Chinese medicine was used to treat blood circulation and remove blood stasis. The clinical efficacy was compared. The differences of hematoma volume, nerve function and quality of life before and after treatment were evaluated and analyzed. Results The total effective rate of the observation group was significantly higher than that of the control group,the difference was statistically significant(χ^2=6.28, P<0.05). There was no statistically significant difference in hematoma volume and neurological function scores between the two groups before treatment. After treatment for a period of time, the condition of each group improved. The volume of hematoma in the observation group (4.34±0.22) cm^3 was smaller than that of the control group,the difference was statistically significant(P<0.05), NIHSS score was (1.03±0.02)points, MRS score (1.14±0.03)points, CSS score (4.21±0.04)points,the difference was statistically significant(P<0.05)were significantly lower than the control group, GOS score (3.37±0.19)points and Barthel score (9.04±0.06)points were higher than the control group,the difference was statistically significant(t= 35.22, 25.44, P<0.05). Conclusion Patients with cerebral hemorrhage receive better treatment with traditional Chinese medicine for promoting blood circulation and removing blood stasis. It can improve the neurological deficit of patients and improve their quality of life. It is worthy of clinical application.