慢性硬膜下血肿临床治疗经验  

Clinical Treatment Experience of Chronic Subdural Hematoma

作　　者：周宇 杜向阳 ZHOU Yu;DU Xiangyang(Department of Neurosurgery,Lu’an Hospital of Traditional Chinese Medicine Affiliated to Anhui University of Chinese Medicine,Anhui Province,Lu’an 237006,China)

机构地区：[1]安徽中医药大学附属六安市中医院神经外科,安徽六安237006

出　　处：《光明中医》2025年第4期766-769,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：慢性硬膜下血肿是神经外科常见疾病,一般难以自愈,绝大部分患者需通过手术治疗才能康复,但存在术后易复发及术后感染等问题。亦有不采取手术,选用口服药物保守治疗的患者,但效果不佳。近年来,大量临床实践发现,中医药辨证论治作为一种非手术治疗方式,对治疗慢性硬膜下血肿具有一定优势。研究从临床实际出发,运用利水化瘀法治疗慢性硬膜下血肿效果显著,可改善血液循环,促进血肿吸收,降低颅内压,减少脑损伤,恢复脑循环,保护神经功能。文章分析总结了运用利水化瘀法治疗慢性硬膜下血肿的临床经验,旨在为慢性硬膜下血肿治疗提供临床思路。Chronic subdural hematoma is a common disease in neurosurgery,which is generally difficult to heal itself,and most patients need surgical treatment to recover,but there are problems such as easy recurrence and postoperative infection after surgery.There are also patients who do not take surgery and choose oral drugs for conservative treatment,but the effect is not good.In recent years,with a large number of clinical practices,it has been found that traditional Chinese medicine syndrome differentiation as a non-surgical treatment has certain advantages in the treatment of chronic subdural hematoma.According to the clinical practice,the treatment of chronic subdural hematoma with the method of rehydrating blood and removing blood stasis has remarkable effect,which can improve blood circulation,promote the absorption of hematoma,reduce intracranial pressure,reduce brain injury,restore brain circulation and protect nerve function.This article analyzed and summarized the clinical experience of treating chronic subdural hematoma with the method of rehydrating and removing blood stasis,aiming to provide clinical ideas for the treatment of chronic subdural hematoma.

关 键 词：慢性硬膜下血肿 中医药疗法 辨证论治 利水通络 活血化瘀 

分 类 号：R269[医药卫生—中西医结合] R249[医药卫生—中医外科学]