中西医结合治疗外伤性脑梗死疗效观察  

Observation of Therapeutic Effect of Integrated Traditional Chinese and Western Medicine on Treating Traumatic Cerebral Infarction

作　　者：宋清安[1] 陈丹[1] 陈志标[2] 

机构地区：[1]杭州市余杭区第二人民医院神经外科,杭州311121 [2]湖北医科大学附属第一医院神经外科

出　　处：《浙江中西医结合杂志》2006年第3期137-138,共2页Zhejiang Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨葛根素与纳络酮合用治疗外伤性脑梗死的临床疗效。方法:回顾性分析葛根素与纳络酮合用治疗的外伤性脑梗死患者28例(单纯外伤性脑梗死9例,合并脑挫伤、颅内出血的外伤性脑梗死19例)的疗效。并与采用常规治疗的24例(单纯外伤性脑梗死7例,合并脑挫伤、颅内出血的外伤性脑梗死17例)的疗效(有效率、生活能力)进行比较。结果:治疗组总有效率优于对照组(2χ=4.18,P<0.05),治疗组中,单纯外伤性脑梗死的疗效优于合并脑挫伤、颅内出血的外伤性脑梗死(2χ=4.30,P<0.05)。结论:葛根素与纳络酮合用治疗外伤性脑梗死可提高疗效,对单纯外伤性脑梗死的疗效优于合并脑挫伤、颅内出血的外伤性脑梗死。Objective：To observe the therapeutic effect of Gegensu combined with Maloxone injection on treating traumatic cerebral infarction （TCI）, Methods： 52 cases with TCI were randomly divided into the treatment group （ 28 cases including 9 cases of simple TCI and 19 cases of TCI induced by brain contusion and intracranial hematoma）and the contrast group（24 cases ）. The contrast group was treated by normal methods and the treatment group by Gegensu combined with Maloxone injection. The therapeutic effect of two groups were observed and compared. Results：The total curative effect of the treatment group was higher than that of the contrast group （χ^2 = 6.44, P 〈 0. 05 ;χ^2= 4. 18, P 〈 0.05 ）. The curative effect on treating, the simple TCI was better than that on TCI induced by brain contusion and intracranial hematoma（χ^2 = 4. 30, P 〈 0. 05）. Conclusion：Gegensu combined with Maloxone injection has good effect on treating TCI. The effect on treating the simple TCI is better than that on treating TCI induced by brain contusion and intracranial hematoma.

关 键 词：外伤性脑梗死 葛根素 纳络酮 

分 类 号：R651.1[医药卫生—外科学]