复元醒脑与活血通腑治疗急性脑出血临床效果对比  

The comparison of clinical efficacy of brain-resuscitating therapy and activating blood circulation therapy on acute cerebral hemorrhage

作　　者：李建民 白雨 王艳丽 王敏 LI Jianmin;BAI Yu;WANG Yan-li(Department of Neurosurgery,Qian'an People's Hospital,Tangshan 064400,China;不详)

机构地区：[1]迁安市人民医院神经外科 [2]迁安市人民医院急诊科 [3]迁安市人民医院ICU,河北唐山064400

出　　处：《中国处方药》2021年第1期134-136,共3页Journal of China Prescription Drug

摘　　要：目的观察和分析复元醒脑和活血通腑在急性脑出血治疗中的临床效果。方法选择2015年1月~2017年1月诊治的126例急性脑出血患者作为研究对象,根据不同治疗方法分为醒脑组和活血组,各63例;其中醒脑组患者给予复元醒脑治疗,活血组给予活血通腑治疗,对比两组患者的临床疗效、治疗前后的神经功能缺损评分(NIHSS)、日常生活活动能力、血肿体积情况。结果两组治疗后与治疗前相比NIHSS评分均减少,治疗后醒脑组比活血组评分更低,差异有统计学意义(P<0.05)。两组治疗后与治疗前相比日常生活活动能力评分均升高,治疗后醒脑组比活血组评分更高,差异有统计学意义(P<0.05)。两组治疗后与治疗前相比血肿体积均减少,治疗后醒脑组比活血组血肿体积更小,差异有统计学意义(P<0.05)。临床总有效率醒脑组比活血组高,差异有统计学意义(P<0.05)。结论与活血通腑治疗相比,复元醒脑对急性脑出血的治疗效果更佳。Objective To observe and analyze the clinical efficacy of brain-resuscitating therapy and activating blood circulation therapy in the treatment of acute cerebral hemorrhage.Methods From January 2015 to January 2017,126 patients with acute cerebral hemorrhage were selected as the research object.According to different treatment methods,they were divided into resuscitating group and activating blood group,with 63 cases in each.The resuscitating group was given brain-resuscitating therapy,activating blood group was given activating blood circulation therapy,compared two groups of Clinical efficacy,before and after treatment in patients with nerve function defect score(NIHSS),daily life activities ability and hematoma volume.Results Compared with before treatment,the scores of NIHSS decreased after treatment in both groups,and the scores were significantly lower in resuscitating group than in activating blood group after treatment(P<0.05).Compared with before treatment,the daily life activity scores of the two groups were increased,and the daily life activity scores were significantly higher in resuscitating group than in activating blood group after treatment(P<0.05).The hematoma volume was significantly smaller in resuscitating group than in activating blood group after treatment(P<0.05)Compared with activating blood group,resuscitating group had a higher clinical effective rate,and the difference between the groups was statistically significant(P<0.05).Conclusion compared with activating blood circulation therapy,brain-resuscitating therapy is more effective in treating acute cerebral hemorrhage.

关 键 词：复元醒脑 活血通腑 急性脑出血 临床疗效 

分 类 号：R277.7[医药卫生—中医学]