解郁通窍汤加味辨证在脑外伤后综合征中的应用效果  

Application efficacy of Modified Jieyu Tongqiao Decoction in the treatment of post-traumatic syndrome based on syndrome differentiation

作　　者：顾海波 姜雷 王少阳 王朋 陈祥涛 李超[2] 胡朝奇 

机构地区：[1]山东省日照市东港区人民医院神经外科,山东日照276800 [2]山东大学齐鲁医院神经外科,山东济南250012 [3]芜湖先声中人药业有限公司,安徽芜湖241080

出　　处：《中国医药导报》2016年第36期191-192,F0003,共3页China Medical Herald

基　　金：国家自然科学基金资助项目(81501094)

摘　　要：目的 观察解郁通窍汤加味辨证在脑外伤后综合征中的应用效果。方法 收集2013年5月-2014年5月日照市东港区人民医院神经外科收治的脑外伤后综合征患者156例,将其随机分为A、B两组,A组采取解郁通窍汤加味辨证治疗,B组采取西医常规综合治疗。两组患者均连续治疗6周,以两组治疗效果、症状评分和安全性作为评价指标。结果 A组治疗有效率为84.62%,B组治疗有效率为67.95%,差异有统计学意义（P〈0.05）;A组治疗后不同证型患者视觉模拟评分均明显低于B组,差异均有统计学意义（P〈0.05）;两组患者并发症发生率比较差异无统计学意义（P〉0.05）。结论 解郁通窍汤能有效改善脑外伤综合征患者的症状,具有较好的疗效。Objective To observe the application efficacy of Modified Jieyu Tongqiao Decoction in the treatment of post-traumatic syndrome based on syndrome differentiation. Methods One hundred and fifty-six patients with posttraumatic syndrome admitted to Department of Neurosurgery of Donggang People＇s Hospital of Rizhao City from May 2013 to May 2014 were collected, and they were randomly divided into group A and group B. Group A was given Modified Jieyu Tongqiao Decoction based on syndrome differentiation, and group B was given conventional comprehensive treatment with western medicine. Both groups were treated for 6 weeks continuously, and the therapeutic effect, symptom scores and safety of the two groups were taken as evaluation indicators. Results The effective rate of group A was 84.62%, and the effective rate of group B was 67.95%, the difference was statistically significant （P 〈 0.05）. The visual analogue scales of different symptoms after treatment in group A were significantly lower than those of group B, the differences were statistically significant （P 〈 0.05）. There was no significant difference in the incidence of complications between the two groups （P 〉 0.05）. Conclusion Jieyu Tongqiao Decoction can effectively improve the symptoms of patients with post-traumatic syndrome and has good efficacy.

关 键 词：解郁通窍汤 脑外伤综合征 辨证论治 

分 类 号：R651.1[医药卫生—外科学] R269[医药卫生—临床医学]