安宫牛黄丸在高血压脑出血术后意识恢复和并发症预防中的应用  

Application of Angong Niuhuang Pills in Consciousness Recovery and Complication Prevention after Operation of Hypertensive Intracerebral Hemorrhage

作　　者：张国锋[1] 高翔[1] 王溪淳 王永健 ZHANG Guofeng;GAO Xiang;WANG Xichun;WANG Yongjian(Jiujiang NO.1 People’s Hospital,Jiangxi Province,Jiujiang 332000,China;不详)

机构地区：[1]江西省九江市第一人民医院,江西九江332000

出　　处：《中国医学创新》2022年第18期122-125,共4页Medical Innovation of China

基　　金：江西省中医药科研项目(2019A494)。

摘　　要：目的:研究高血压脑出血术后应用安宫牛黄丸的疗效及对患者意识恢复和并发症的影响。方法:回顾性选取2018年2月-2021年1月九江市第一人民医院神经外科高血压脑出血患者100例,依据治疗方法将其分为常规手术组(A组)和术后加用安宫牛黄丸组(B组),各50例。统计分析两组血肿清除率、再出血率、术后第1、2周及出院前意识程度、住院时间及住院费用、临床疗效、术后并发症发生情况。结果:两组血肿清除率、再出血率比较,差异均无统计学意义(P>0.05)。两组出院前NIHSS评分均低于术后第2周,术后第2周NIHSS评分均低于术后第1周(P<0.05);B组术后第1、2周及出院前NIHSS评分均低于A组,住院时间短于A组,差异均有统计学意义(P<0.05)。两组住院费用、疗效比较,差异均无统计学意义(P>0.05)。B组预后良好率为82.00%,高于A组的60.00%(P<0.05)。B组术后并发症发生率为50.00%,低于A组的72.00%(P<0.05)。结论:高血压脑出血术后应用安宫牛黄丸的疗效显著,能有效促进患者意识恢复和减少并发症发生。Objective:To study the curative effect of Angong Niuhuang Pills after operation of hypertensive intracerebral hemorrhage and its influence on patients’consciousness recovery and complications.Method:A total of 100 patients with hypertensive cerebral hemorrhage from February 2018 to January 2021 in Neurosurgery of Jiujiang NO.1 People’s Hospital were retrospectively selected and divided into two groups according to the treatment methods,conventional operation group(group A)and Angong Niuhuang Pills after operation group(group B),50 patients in each group.The hematoma clearance rate,rebleeding rate,consciousness level at the first and second weeks after surgery and before discharge,length and cost of hospital stay,clinical efficacy and postoperative complications in two groups were statistically analyzed.Result:There were no significant differences in the hematoma clearance rate and rebleeding rate between two groups(P>0.05).The NIHSS scores before discharge in two groups were lower than those at the 2nd week after operation,and the NIHSS scores at the 2nd week after operation were lower than those at the 1st week after operation(P<0.05).The NIHSS scores at the 1st,2nd week after operation and before discharge in group B were lower than those in group A,the length of hospital stay was shorter than that in group A,the differences were statistically significant(P<0.05).There were no significant differences in hospitalization cost and efficacy between the two groups(P>0.05).The good prognosis rate of group B was 82.00%,which was higher than 60.00%of group A(P<0.05).The incidence of postoperative complications in group B was 50.00%,which was lower than 72.00%in group A(P<0.05).Conclusion:The application of Angong Niuhuang Pills after hypertensive intracerebral hemorrhage has a significant effect,which can effectively promote the recovery of consciousness and reduce the incidence of complications.

关 键 词：高血压脑出血 术后 安宫牛黄丸 意识 并发症 

分 类 号：R277.7[医药卫生—中医学]