活血化瘀法治疗脑出血对血肿吸收影响  

Effect of Blood-Activating and Stasis-Removing Therapy on Hematoma Absorption of Intracerebral Hemorrhage

作　　者：陈澈[1] 院立新 张根明[2] 周莉[2] 陈颖[2] 崔方圆[2] 

机构地区：[1]北京中医药大学第一临床医学院,北京100029 [2]北京中医药大学东直门医院脑病科,北京100700

出　　处：《辽宁中医药大学学报》2014年第6期142-144,共3页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：北京市科委科技计划重大项目(D101107049310003)

摘　　要：目的:观察脑出血活血化瘀法治疗方案对血肿吸收的影响。方法:228例脑出血患者随机分为两组。对照组114例予内科基础治疗,治疗组114例在此基础上予醒脑静注射液静滴14d,辨证口服活血化瘀免煎颗粒21d,21d后口服脑血疏口服液至发病后3个月。观察两组血肿体积吸收情况及神经功能缺损评分改善程度。结果:入组7d后血肿体积吸收情况与入组当天相比,治疗组吸收幅度优于对照组(P<0.05),治疗3个月后治疗组神经功能缺损评分治疗组低于对照组。结论:脑出血活血化瘀治疗方案可以很好地促进血肿吸收、改善神经功能缺损状况,且不良反应小,值得临床推广应用。Objective： To observe the effect on hematoma absorption of intracerebral hemorrhage with blood-activating and stasis-removing therapy. Methods ： A total of 228 cases with cerebral hemorrhage were randomly divided into the treatment group （n=114 ）and the control group （n=114）. The control group was treated with the basic treatment of internal medicine. On the basis of ontrol group, the treatment group received intravenous infusion with Xingnaojing Injection for 2 weeks and given TCM granules for 21 days dynamically and dialectically. After these, the treatment group patients were asked to drink Naoxueshu Oral Liquid untill the 3rd month of incidence. The absorption of hematama and improvement NIHSS scale scores were reviewed in two groups. Results ： Compared with the first day, the hematoma absorption of the treatment group was superior to that of control group on 7th days after entering the group （ P〈0.05 ）. The NIHSS score in treatment group was better than that in control group after 3 months. Conclusion ： Intracerebral hemorrhage with blood-activating and stasis-removing therapy had an effective result in improving hematoma absorption and neurologic function deficits. In addition, the adverse reaction was few and it deserved the clinical application and popularization.

关 键 词：脑出血 活血化瘀 血肿吸收 临床观察 

分 类 号：R743.34[医药卫生—神经病学与精神病学]