安宫牛黄丸联合立体定向穿刺治疗急性脑出血患者疗效观察

目的探讨安宫牛黄丸联合立体定向穿刺治疗急性脑出血的疗效。方法选取2022年7月至2023年2月急性脑出血患者40例,随机分为2组,对照组患者给予立体定向穿刺抽吸术,观察组在此基础上联合安宫牛黄丸治疗,比较治疗后第1天及2周时神经功能缺损评分(NIHSS)、日常生活能力量表评分(ADL)、改良Rankin量表评分(mRS)及相关并发症等情况。结果治疗后两组患者NHISS评分、GCS评分和ADL评分与治疗前比较,差异有统计学意义(P<0.05),且观察组NHISS评分比对照组改善更显著(P<0.05)。观察组患者颅内感染发生率比对照组低(P<0.05),观察组总有效率高于对照组(P<0.05)。结论立体定向穿刺术后应用安宫牛黄丸治疗急性脑出血,能促进神经功能恢复,减少术后并发症的发生,从而改善患者预后。

Objective To exploring the therapeutic effect of Angong Niuhuang Pill combined with stereotactic puncture in the treatment of acute cerebral hemorrhage.Methods 40 patients with acute cerebral hemorrhage from July 2022 to February 2023 were randomly divided into two groups.The patients in the control group were treated with stereotactic puncture and aspiration,and the patients in the observation group were treated with Angong Niuhuang Pill on the basis.The neurological deficit score(NIHSS),activity of daily living scale(ADL),modified Rankin scale score(mRS)and related complications were compared on the first day and two weeks after treatment.Results After treatment,the NHISS score,Glasgow Coma Scale(GCS)score and ADL score of the two groups were significantly different from those before treatment(P<0.05),and the NHISS score of the observation group was significantly better than that of the control group(P<0.05).The incidence of intracranial infection in the observation group was lower than that in the control group(P<0.05),and the total effective rate in the observation group was higher than that in the control group(P<0.05).Conclusion The application of Angong Niuhuang Pill in the treatment of acute cerebral hemorrhage after stereotactic puncture can promote the recovery of neurological function,reduce the occurrence of postoperative complications,and improve the prognosis of patients.