中西医结合治疗高血压脑出血术后痰湿蒙神证患者37例临床观察  

The Analysis of using Chinese and Western Medicine to Treat Hypertensive Intra-cerebral Hemorrhage with Obstruction of Brilliant by Phlegm and Dampness of TCM after Operation with 37 cases

作　　者：魏平波[1,2] 刘平[1] 陈浩[2] 陈炯[2] 

机构地区：[1]四川大学附属华西医院神经外科,四川成都610041 [2]绵竹市人民医院神经外科,四川绵竹618200

出　　处：《四川中医》2010年第10期64-66,共3页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的：比较中西医结合和单纯西医方法治疗高血压脑出血术后中医辨证属于痰湿蒙神证患者预后的疗效。方法：对2005年7月~2010年4月在我院神经外科进行手术后,且中医辨证属于痰湿蒙神证患者78例高血压脑出血患者分别采用中西医结合治疗（37例）和单纯西医治疗（41例）,结果采用SPASS软件包进行统计学处理。结果：中西医结合组（治疗组）在早期意识好转率（术后72小时）、重残率、病死率均优于单纯西医组（对照组）（P〈0.05）。结论：中西医结合方法治疗高血压脑出血术后属痰湿蒙神证者,能早期改善患者意识,有效降低患者的重残率和病死率,为重症高血压脑出血患者的治疗提供了新的思路。Objectives：To compare the effects of two methods（the treatment of combin Chinese and western medicine,the treatment of using western medicine only）in the treatment of hypertensive intracerebral hemorrhage hematoma.Methods：78 cases of hypertensive intracerebral hemorrhage patients admitted in neurosurgery in our hospital from July 2005 to April 2010 were randomly assigned to two groups,received different treatments after operation.The treatment of combining Chinese and western medicine group has 37 cases and the treatment of Simplely using western medicine group has 41 cases.The results were analysed by the SPSS package statistical processing.Results：Treatment group（combined Chinese and western medicine）in early awareness improved rate（after 72 hours）,disabled rate,death rate were better than compared group method（Simplely using western medicine）（P〈0.05）.Conclusions：Combined chinese and western medicine to treat hypertensive intracereb ral hemorrhage can improve patient awareness,effective patients disabled rate and mortality rate.It offer a new idea for hypertensive intracerebral hemorrhage patients.

关 键 词：中西医结合 高血压脑出血 痰湿蒙神 

分 类 号：R743.3[医药卫生—神经病学与精神病学]