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为探讨中药通窍活血汤加减配合高压氧治疗颅脑损伤后失语的临床效果,本研究选取我院脑外科进行治疗的110例颅脑损伤后失语患者,将其按照随机数字表法分为对照组和实验组,每组55例病人。其中对照组所有患者实施常规的西医治疗;实验组所有患者实施在常规的西医治疗的基础上增加中药通窍活血汤加减配合高压氧治疗。观察两组患者治疗后1个月以及1年的治疗效果。结果显示,两组患者经过不同治疗1个月后,对照组患者中12例混着治疗无效(21.82%),20例患者治疗有效(36.36%),23例患者治疗无效(41.82%),其总有效率为78.18%。而实验组患者中4例患者治疗无效(7.27%),23例患者治疗有效(41.82%),28例患者治疗无效(50.91%),其总有效率为92.73%。可见两组患者治疗总有效率比较具有较大的差异性,p<0.05,有统计学意义;接下来比较两组患者经过不同治疗1年后的随访结果显示,对照组患者中10例患者治疗无效(18.18%),18例患者治疗有效(32.73%),27例患者治疗无效(49.09%),其总有效率为81.82%。而实验组患者中2例患者治疗无效(3.64%),21例患者治疗有效(38.18%),32例患者治疗无效(58.18%),其总有效率为96.36%。可见实验组治疗总有效率明显高于对照组,p<0.05,有统计学意义。综上所述,与常规治疗方法相比,高压氧配合中药通窍活血汤加减治疗颅脑损伤后失语患者能够有效提高患者治疗效果,同时促进患者愈后生活质量的提高。
In order to explore the clinical effect of Tongqiao Huoxue Decoction plus hyperbaric oxygen treatment of aphasia after craniocerebral injury, 110 cases of post-traumatic brain injury aphasia patients treated by our department of cerebral surgery were randomly divided into control group And experimental group, each group of 55 patients. All patients in the control group were treated with conventional western medicine. All patients in the experimental group were treated with traditional Chinese medicine (TCM) plus traditional Chinese medicine Tongqiao Huoxue Decoction plus hyperbaric oxygen. Two months after treatment and one year of treatment were observed in both groups. The results showed that 12 months after treatment, the control group had 12 cases of mixed treatment (21.82%), 20 cases of effective treatment (36.36%), 23 cases of treatment ineffective (41.82%), The total effective rate was 78.18%. In the experimental group, 4 patients were ineffective (7.27%), 23 patients (41.82%) were effective, 28 patients (50.91%) were ineffective, and the total effective rate was 92.73%. Visible two groups of patients the total effective rate of treatment has a greater difference, p <0.05, statistically significant; then compared two groups of patients after different treatment 1 year follow-up results showed that the control group of 10 patients treated (18.18%), 18 patients were effective (32.73%), 27 patients were ineffective (49.09%), the total effective rate was 81.82%. In the experimental group, 2 patients were ineffective (3.64%), 21 patients were effective (38.18%), 32 patients were ineffective (58.18%), and the total effective rate was 96.36%. Visible experimental group the total effective rate was significantly higher than the control group, p <0.05, with statistical significance. In summary, compared with conventional treatment, hyperbaric oxygen combined with traditional Chinese medicine Tongqiao Huoxue Decoction treatment of patients with aphasia after craniocerebral injury can effectively improve the therapeutic effect of patients, while improving the quality of life of patients with improved prognosis.