综合疗法治疗高血压性脑出血60例疗效观察  

Observation on curative effect of treatment for cerebral hemorrhage induced by hypertension in 60 cases with complex therapy

作　　者：周生花[1] 王震宇[1] 王伟民[1] 王松龄[1] 

机构地区：[1]河南省中医院,河南郑州450002

出　　处：《中国中西医结合急救杂志》2003年第6期353-355,共3页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：河南省科技发展计划项目资助 ( 2 2 463 0 0 0 5 )

摘　　要：目的 :观察综合疗法对高血压性脑出血急性期的疗效 ,探索有效治疗方法。方法 :将 12 0例高血压性脑出血患者随机分为两组 ,综合疗法组采用颅内血肿微创清除术、康复训练、西医治疗与中药血肿消治疗的综合疗法 ;西医组则采用微创手术加西医治疗。两组各 6 0例 ,治疗时间均为 2 8d,比较两组疗效。结果 :治疗组血肿吸收率为 (98.17± 6 .32 ) % ,临床治愈率为 4 3.33% ,总有效率为 96 .6 7% ;对照组血肿吸收率为 (87.6 0±5 .4 8) % ,临床治愈率为 30 .0 0 % ,总有效率为 88.33%。治疗组疗效优于对照组 ,有显著性差异 (P均 <0 .0 5 )。结论 :综合疗法可提高高血压脑出血患者的生存率 ,缩短病程 ,减少致残率 ,提高生活质量。Objective: To observe the curative effect of the complex therapy in treating cerebral hemorrhage induced by hypertension and look for an effective therapy. Methods: One hundred and twenty patients with cerebral hemorrhage induced by hypertension were randomly divided into two groups. The 60 patients in complex therapy group was treated with complex therapy including microwounded operation of encephalic hematoma, rehabilitation treatment, western medicine and traditional Chinese medicine Xuezhong xiao(血肿消). The 60 patients in western medicine group was treated with microwounded operation and western medicine. Their periods of treatment were 28 days. The curative effects were compared between two groups. Results: Clinical heal rate and totally effective rate were 43.33 percent and 96.67 percent in complex therapy group, they were superior to those(30.00 percent, 88.33 percent) in western medicine group (both P<0.05). The absorption rate of hematoma was (98.17±6.32) percent in the complex therapy group, it was also superior to that (87.60±5.48) percent in western medicine group (P<0.05). Conclusion: Complex therapy could increase survival rate and improve quality of life, decrease the diseases' course and disability incidence.

关 键 词：综合疗法 高血压性脑出血 疗效观察 生活质量 急性期 颅内血肿微创清除术 康复训练 血肿消 

分 类 号：R743.34[医药卫生—神经病学与精神病学]