硬通道微创穿刺配合通窍健步汤治疗慢性硬膜下血肿30例

Clinical effect of hard-channel minimally invasive puncture combined with Tongqiao Jianbu decoction in treatment of chronic subdural hematoma:An analysis of 30 cases

目的:探讨硬通道微创穿刺配合通窍健步汤治疗慢性硬膜下血肿(CSDH)的临床疗效。方法:将60例CSDH患者随机分为治疗组和对照组,每组各30例。对照组采用硬通道微创穿刺治疗,治疗组在对照组的基础上加用通窍健步汤治疗。比较2组综合疗效及日常生活能力量表(ADL)评分。结果:总有效率治疗组为100.00%(30/30),对照组为83.33%(25/30),2组比较,差异有统计学意义(P<0.05);2组ADL评分治疗前后组内比较及治疗后组间比较,差异均有统计学意义(P<0.05)。结论:硬通道微创穿刺配合通窍健步汤治疗CSDH,能有效改善患者临床症状,提高日常生活能力。

Objective: To investigate the clinical effect of hard-channel minimally invasive puncture combined with Tongqiao Jianbu decoction in the treatment of chronic subdural hematoma(CSDH).Methods: A total of 60 patients with CSDH were randomly divided into treatment group and control group, with 30 patients in each group.The patients in the control group were given hard-channel minimally invasive puncture, and those in the treatment group were given Tongqiao Jianbu decoction in addition to the treatment in the control group.Overall response and Activities of Daily Living(ADL) score were compared between the two groups.Results: There was a significant difference in overall response rate between the treatment group and the control group [100.00%(30/30) vs 83.33%(25/30),P<0.05].Both groups had a significant change in ADL score after treatment, and there was a significant difference in ADL score between the two groups after treatment(P<0.05).Conclusion: In the treatment of CSDH,hard-channel minimally invasive puncture combined with Tongqiao Jianbu decoction can effectively improve clinical symptoms and activities of daily living.