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目的:观察丹参合血府逐瘀汤配合西医的综合治疗颅内动脉瘤破裂急性期的临床疗效。方法:该组46例患者均在外科夹闭术和动脉瘤内栓塞术后在西医治疗的基础上配以丹参合血府逐瘀汤加减治疗4～6周。结果:评分结果良好39例,中残3例,重残2例,死亡2例。死亡2例中1例为术前Hunt-Hess分级Ⅳ级,死于术后肺部感染;另1例均为术前Hunt-Hess分级Ⅴ级患者,死于脑梗死。结论:颅内动脉瘤破裂急性期丹参合血府逐瘀汤配合西医对患者恢复期的治疗有较好的疗效。
Objective: To observe the clinical effect of Danshen combined with Xuefu Zhuyu Decoction combined with western medicine in the treatment of acute ruptured intracranial aneurysms. Methods: All the 46 patients in this group were treated with Danshen and Xuefu Zhuyu Decoction for 4 to 6 weeks on the basis of Western medical treatment after surgical clipping and aneurysm embolization. Results: The score was good in 39 cases, 3 cases of moderate disability, 2 cases of severe disability and 2 cases of death. One of the 2 deaths was preoperative Hunt-Hess grade IV and died of postoperative pulmonary infection. The other 1 patient was preoperative Hunt-Hess grade V and died of cerebral infarction. Conclusion: The acute phase of intracranial aneurysm rupture Danshen combined with Xuefu Zhuyu Decoction with Western medicine for the treatment of patients with recovery has a good effect.