活血利水法治疗脑出血微创穿刺碎吸术后疗效观察  

Observation of curative effect of stimulating blood circulation and inducing diuresis on cerebral hemorrhage after microinvasive puncturatio and aspiration

作　　者：王付启 赵平丽 王媛 WANG Fu-qi;ZHAO Ping-li;Wang Yuan(Zhumadian Hospital of Traditional Chinese Medicine in Henan Province,Zhumadian 463000,China)

机构地区：[1]河南省驻马店市中医院

出　　处：《山西中医》2019年第2期12-14,共3页Shanxi Journal of Traditional Chinese Medicine

基　　金：河南省中医药科学研究专项课题(编号:2016ZY2053)

摘　　要：目的:观察活血利水法治疗脑出血微创穿刺碎吸术后的临床疗效。方法:60例急性脑出血患者随机分为治疗组和对照组各30例。对照组采用微创穿刺碎吸术治疗,治疗组在对照组基础上予活血利水法中药治疗,疗程均为14天;治疗前后对比分析两组患者血肿量大小,CRP、血清炎症因子水平、神经功能缺损的改善情况、个人生活能力恢复情况和临床疗效。结果:治疗组治疗后血肿量显著低于对照组(P﹤0.05),治疗组治疗后CRP、TNF-α、IL-1β、IL-6水平明显低于对照组(P﹤0.05);治疗组的NI hSS和Barthel评分改善程度大于对照组(P﹤0.05);治疗组临床总有效率高于对照组(P﹤0.05)。结论:活血利水法中药治疗脑出血微创穿刺碎吸术后患者疗效肯定,能下调血清炎症因子水平,促进血肿的吸收和神经功能的恢复。Objective:To observe the clinical curative effect of stimulating blood circulation and inducing diuresis on cerebral hemorrhage after microinvasive puncturatio andaspiration.Methods:60 cases of patients with acute cerebral hemorrhage were randomly divided into the treatment group and the control group,30cases in each group.The control group was treated with microinvasive puncturatio and aspiration,while the treatment group was treated with traditional Chinese drugs for stimulating blood circulation and inducing diuresis on the basis of control group.For both groups,the course of treatment was 14 days.Before and after treatment,the levels of hematoma,CRP and serum inflammatory factors,the improvement of neuro function deficit,the recovery of individual living ability and the clinical curative effect were compared and analyzed in patients of two groups.Results:After treatment,the levels of hematoma,CRP,TNF-α,IL-1βand IL-6 in treatment group were significantly lower than those in control group(P<0.05);the improvement of NIHSS and Barthel scores in treatment group was better than in control group(P<0.05).The total effective rate of treatment group was significantly higher than that of control group(P<0.05).Conclusion:The clinical curative effect of stimulating blood circulation and inducing diuresis on cerebral hemorrhage after microinvasive puncturatio and aspiration is definite,which can regulate down the level of serum inflammatory factors,promote the absorption of hematoma and the recovery of nerve function.

关 键 词：脑出血 高血压 微创穿刺碎吸术 活血利水法 

分 类 号：R743.34[医药卫生—神经病学与精神病学]