通窍活血汤联合针刺治疗重度颅脑损伤的临床效果

Clinical Effect of Tongqiao Huoxue Decoction and Acupuncture in the Treatment of Severe Traumatic Brain Injury

目的:探讨重度颅脑损伤(STBI)患者采用通窍活血汤联合针刺治疗的临床效果。方法:选取2021年2月—2024年1月聊城市第二人民医院收治的STBI患者共计80例,以随机数字表法分成研究组(40例)与对照组(40例),对照组采用常规西药治疗,研究组在对照组基础上采用通窍活血汤联合针刺治疗,比较两组临床疗效、中医证候积分、预后情况、血液流变学指标。结果:统计治疗总有效率,研究组(95.00%)较对照组(77.50%)高,差异有统计学意义(P<0.05);两组治疗后中医证候积分均下降,研究组较对照组低,差异均有统计学意义(P<0.05);两组治疗后格拉斯哥预后量表(GOS)评分均升高,研究组较对照组高,差异均有统计学意义(P<0.05);两组治疗后全血低切黏度(LBV)、全血高切黏度(HBV)均下降,研究组均较对照组低,差异均有统计学意义(P<0.05)。结论:通窍活血汤联合针刺应用于STBI患者治疗中,能够提高临床效果,降低中医证候积分,改善预后情况及血液流变学指标。

Objective:To explore the clinical effect of Tongqiao Huoxue Decoction and acupuncture in the treatment of patients with severe traumatic brain injury(STBI).Method:A total of 80 STBI patients from February 2021 to January 2024 who were admitted in the Second People's Hospital of Liaocheng were selected and randomly divided into the study group(40 cases)and the control group(40 cases).The control group was given conventional western medicine treatment,the study group was given Tongqiao Huoxue Decoction and acupuncture treatment on the basis of the control group.The clinical efficacy,TCM syndrome score,prognosis,and hemorheological indicators in both groups were compared.Result:In the total effective rate of treatment,that in the study group(95.00%)was higher than that in the control group(77.50%),the difference was statistically significant(P<0.05).After treatment,the TCM syndrome scores in both groups were decreased,and in comparison of the control group,that in the study group was lower,the differences were statistically significant(P<0.05).After treatment,the Glasgow outcome scale(GOS)scores in both groups were increased,and in comparison of the control group,that in the study group was higher,the differences were statistically significant(P<0.05).After treatment,the whole blood low shear viscosity(LBV)and whole blood high shear viscosity(HBV)in both groups were decreased,and in comparison of the control group,those in the study group were lower,the differences were statistically significant(P<0.05).Conclusion:The combination of Tongqiao Huoxue Decoction and acupuncture in the treatment of STBI patients can improve clinical efficacy,reduce TCM syndrome scores,and improve prognosis and hemorheological indicators.