中医药在慢性硬膜下血肿临床治疗中的应用  

Application of traditional Chinese medicine in clinical treatment of chronic subdural hematoma

作　　者：樊永平[1] 刘伟明[2] 杨涛[1] 仝延萍 FAN Yong-ping;LIU Wei-ming;YANG Tao;TONG Yan-ping(Department of Traditional Chinese Medicine,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院中医科,北京100070 [2]首都医科大学附属北京天坛医院神经外科,北京100070

出　　处：《中华中医药杂志》2022年第9期5240-5243,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.82074350,No.81973599);北京市自然科学基金-北京市教育委员会科技计划重点项目(No.KZ/KM/SZ/SM201910025035);首都卫生发展科研专项(No.首发2020-2-2043);北京中医药科技发展资金项目(No.JJ-2020-59)。

摘　　要：慢性硬膜下血肿(CSDH)是指血液积聚于硬脑膜下腔与蛛网膜之间,好发于老年人,随着人口的老龄化,CSDH发生率逐年增高。现治疗手段主要集中于外科手术治疗,但是易复发且部分患者预后较差。研究证实,中医药治疗CSDH具有很好的临床疗效,为CSDH治疗提供了新的思路。文章在现代研究的基础上,阐述活血化瘀利水治疗CSDH的中医理论及疗效,是CSDH非手术治疗的重要选择。Chronic subdural hematoma(CSDH) refers to the accumulation of blood between subdural space and arachnoid membrane, which is common in the elderly. With the aging of the population, the incidence of CSDH is increasing year by year. At present, the treatment mainly focuses on surgical treatment, but it is easy to relapse and some patients have poor prognosis. Studies have proved that Chinese medicine has a good clinical effect on CSDH, which provides a new idea for CSDH treatment. On the basis of modern research, this paper expounds the TCM theory and curative effect of promoting blood circulation, removing blood stasis and inducing diuresis in treating CSDH, which is an important choice for non-surgical treatment of CSDH.

关 键 词：慢性硬膜下血肿 中医药 活血化瘀 利水 

分 类 号：R259[医药卫生—中西医结合]