中西医结合治疗高血压脑出血45例  

Forty-Five Cases of Hypertensive Cerebral Hemorrhage Treated with Integrated Traditional Chinese and Western Medicine Therapy

作　　者：刘玉红 LIU Yu-hong(Henan Hospital of Traditional Chinese Medicine,The Second Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou,Henan,China,450002)

机构地区：[1]河南省中医院,河南中医药大学第二附属医院,河南郑州450002

出　　处：《河南中医》2020年第10期1565-1568,共4页Henan Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81874456)。

摘　　要：目的:观察中西医结合治疗高血压脑出血的临床疗效。方法:将90例高血压脑出血患者按照随机数字表法分为对照组和试验组,每组各45例。对照组采用外科清除血肿治疗,术后及时给予常规西医疗法,试验组在对照组的基础上进行辨证论治。比较两组患者治疗后不同时期收缩压、舒张压和Fugl-Meyer评分,比较两组患者的临床疗效、不良反应发生率及治疗前后美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分变化情况。结果:两组患者治疗后4周和治疗后12周,舒张压和收缩压低于手术后,且试验组低于对照组同期治疗后,差异具有统计学意义(P<0.05)。两组患者治疗后4周和治疗后12周Fugl-Meyer评分高于手术后,且试验组高于对照组同期治疗后,差异具有统计学意义(P<0.05)。试验组有效率为88.9%,对照组有效率为71.1%,两组患者有效率比较,差异有统计学意义(P<0.05)。两组患者治疗后NHISS评分低于本组治疗前,且试验组治疗后低于对照组治疗后,差异具有统计学意义(P<0.05)。试验组肩手综合征、褥疮、抑郁发生率均低于对照组,但仅有抑郁发生率与对照组比较,差异有统计学意义(P<0.05)。结论:中西医结合治疗高血压脑出血,可改善患者的血压,促进神经功能恢复。Objective:To observe the clinical curative effect of integrated traditional Chinese and Western medicine therapy on hypertensive cerebral hemorrhage.Methods:A total of 90 patients with hypertensive cerebral hemorrhage were randomly divided into the control group and the experimental group according to random number table method,with 45 cases in each group.The control group was treated with surgical evacuation of hematoma,and routine western medicine therapy was given in time after operation,while the experimental group was treated with syndrome differentiation on the basis of the control group.Systolic blood pressure,diastolic blood pressure and Fugl Meyer scores were compared between the two groups at different periods after the treatment.The clinical efficacy,incidence of adverse reactions and NIH stroke scale(NIHSS) scores before and after the treatment were also compared between the two groups.Results:After 4 weeks and 12 weeks of treatment,diastolic blood pressure and systolic blood pressure of the two groups were lower than those after operation,and the above indexes of the experimental group were lower than those of the control group after the same period of treatment,and all the differences were statistically significant(P<0.05).After 4 weeks and 12 weeks of treatment,the Fugl Meyer score of the two groups was higher than that after operation,and the above index of the experimental group was higher than that of the control group after the same period of treatment,and the difference was statistically significant(P<0.05).The effective rate of the experimental group was 88.9%,and that of the control group was 71.1%.The difference was statistically significant(P<0.05).After the treatment,the NHISS score of the two groups was lower than that of the same group before the treatment,and the NHISS score of the experimental group was lower than that of the control group after the treatment,the difference was statistically significant(P<0.05).The incidence of shoulder-hand syndrome,pressure ulcer and depression in t

关 键 词：高血压 脑出血 辨证论治 痰热腑实证 痰火瘀闭证 痰浊瘀闭证 中西医结合疗法 

分 类 号：R277.432[医药卫生—中医学]