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目的:观察应用颅内血肿穿刺抽吸引流术联合醒脑通窍汤治疗高血压脑出血(HICH)的临床疗效。方法:观察脑出血患者67例依据头颅CT定位后,用一次性颅锥,穿刺针穿刺血肿靶点,进行抽吸,应用生化酶技术将血肿液化引流达到血肿清除[1],随机分为观察组35例、对照组32例,观察组同时应用醒脑通窍汤日1剂口服(鼻饲)。进行疗效评定。结果:观察组和对照组的总有效率分别为91.43%和68.75%(P<0.01)。治疗3周后,观察组血肿周围水肿体积变化及神经功能的改善程度明显优于对照组(P<0.01)。结论:高血压脑出血术后早期应用醒脑通窍汤治疗,可以促进血肿吸收,抑制脑水肿,减轻神经功能损害,明显提高疗效,而且是安全可行的。
Objective: To observe the clinical effect of intracranial hematoma aspiration and drainage combined with Xingnao Tongqiao Decoction in treating hypertensive intracerebral hemorrhage (HICH). Methods: 67 patients with cerebral hemorrhage were observed according to the skull CT positioning, with a one-time craniotomy, puncturing the target of hematoma, aspiration, the application of biochemical enzyme technology to hematoma liquefaction drainage hematoma [1], were randomly divided into observation 35 cases in the control group and 32 cases in the control group. The observation group was also given orally (nasogastric) 1 dose of Xingnao Tongqiao decoction daily. Efficacy assessment. Results: The total effective rate of observation group and control group were 91.43% and 68.75% (P <0.01). After 3 weeks of treatment, the volume of edema around the hematoma and the improvement of neurological function in the observation group were significantly better than those in the control group (P <0.01). Conclusion: The early application of Xingnao Tongqiao Decoction after hypertensive intracerebral hemorrhage can promote the absorption of hematoma, inhibit brain edema, reduce neurological damage, improve the curative effect obviously and is safe and feasible.