中医祛瘀利水法对脑挫裂伤患者早期康复的影响  

Influence of Removing Blood Stasis and Rehydrating Method of Traditional Chinese Medicine on Early Rehabilitation of Patients with Brain Contusion and Laceration

作　　者：施诚 韩进旺 朱浩江 姚佳楠 SHI Cheng;HAN Jinwang;ZHU Haojiang;YAO Jianan(Department of Neurosurgery,Zhangjiagang Guanghe Hospital of Integrated Chinese and Western Medicine,Zhangjiagang,Jiangsu 215633)

机构地区：[1]张家港广和中西医结合医院,江苏张家港215633

出　　处：《智慧健康》2025年第3期82-85,共4页Smart Healthcare

摘　　要：目的研究中医祛瘀利水法对脑挫裂伤患者早期康复的影响。方法选取2021年1月—2023年12月本院收治的120例脑挫裂伤患者,根据病情采取药物保守治疗或开颅脑挫裂伤血肿清除手术及去骨瓣减压术治疗,手术患者术后72 h后、非手术患者入院72 h后分别纳入研究。入组后,根据干预方式不同分为对照组和观察组,每组60例。对照组予口服温水作空白对照,观察组予口服祛瘀利水方治疗。连续干预2周后,对两组患者中医症候积分、昏迷情况(GCS评分)、颅内水(血)肿情况、临床疗效进行评价。结果①治疗后,观察组中医症候积分低于对照组(P<0.05)。②治疗后,观察组自入组第7 d开始GCS评分显著高于对照组(P<0.05)。③治疗后,观察组自入组第3 d开始脑水(血)肿体积显著低于对照组(P<0.05)。④治疗后,观察组治疗总有效率高于对照组(P<0.05)。结论祛瘀利水法在治疗脑挫裂伤方面效果显著,能够促进水(血)肿的吸收,改善意识障碍,减轻临床症状,促进脑挫裂伤患者的早期康复。Objective To study the effect of removing blood stasis and rehydrating on early rehabilitation of patients with brain contusion and laceration.Methods From January 2021 to December 2023,120 patients with cerebral contusion and laceration were selected from our department,and conservative drug treatment or surgical treatment(craniocranial contusion and hematoma removal and decompressive craniotomy)were taken according to their condition.Surgical patients were included in the study 72 hours after surgery and non-surgical patients 72 hours after admission.According to different intervention methods,they were divided into control group(n=60)and observation group(n=60).The control group was given oral warm water as blank control,and the observation group was given oral Quyu Lishui prescription.After 2 weeks of continuous intervention,TCM syndrome score,coma(GCS score),intracranial edema(blood)and clinical efficacy of the two groups were evaluated.Results①After treatment,the TCM syndrome score of the observation group was lower than that of the control group(P<0.05).②After treatment,the GCS score of the observation group was significantly higher than that of the control group on the 7th day after admission(P<0.05).③After treatment,the volume of cerebral hydroedema(blood)in the observation group was significantly lower than that in the control group on the 3rd day after admission(P<0.05).After treatment,the total effective rate of the observation group(96.67%)was higher than that of the control group(85.00%)(P<0.05).Conclusion The method of removing stasis and rehydrating water is effective in the treatment of brain contusion,which can promote the absorption of water(blood)swelling,improve the consciousness disorder,reduce clinical symptoms,and promote the early rehabilitation of brain contusion patients.

关 键 词：脑挫裂伤 祛瘀利水法 中医症候积分 GCS评分 疗效 

分 类 号：R651.1[医药卫生—外科学]