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目的:观察中西医结合非手术分期治疗外伤性颅内血肿的临床疗效。方法:将63例患者随机分为常规组31例和中药组32例,2组均采用西医内科常规治疗方案。中药组在常规治疗基础上加用中药治疗,早期治以利水消肿,活血止血;中期治以益气解毒,活血化瘀;后期治以补益气血,祛瘀生新。观察2组患者血肿量的变化、格拉斯哥(GCS)评分及格拉斯哥预后(GOS)情况。结果:2组治疗后30天的GCS分值均有增加(P<0.05),中药组治疗后7、30天的GCS分值较常规组增加明显(P<0.05)。2组治疗后30天血肿量均有减少(P<0.05),中药组治疗后7、30天的血肿量较常规组减少明显(P<0.05)。2组GOS情况比较,差异有显著性意义(P<0.05),中药组疗效较常规组好。结论:中西医结合非手术治疗外伤性颅内血肿能使血肿量减少,GCS评分增加,改善GOS情况,提高患者的生存质量。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of traumatic intracranial hematoma by non-surgical staging. Methods: Sixty-three patients were randomly divided into routine treatment group (n = 31) and traditional Chinese medicine group (n = 32). The two groups were treated by conventional western medicine. Traditional Chinese medicine group on the basis of conventional treatment with traditional Chinese medicine treatment, early treatment of water swelling, blood circulation to stop bleeding; mid-term treatment to qi detoxification, promoting blood circulation; later treatment to replenishing qi and blood, stasis and new students. The changes of hematoma volume, Glasgow (GCS) score and Glasgow prognosis (GOS) were observed in two groups. Results: The GCS scores of both groups increased at 30 days after treatment (P <0.05). The scores of GCS increased significantly at 7 and 30 days after treatment in the two groups (P <0.05). The amount of hematoma decreased in both groups 30 days after treatment (P <0.05), and the amount of hematoma decreased significantly (P <0.05) at 7 and 30 days after treatment in the two groups. There was significant difference between the two groups (P <0.05). The curative effect of traditional Chinese medicine group was better than conventional group. Conclusion: The treatment of traumatic intracranial hematoma by non-operative combination of TCM and WM can reduce the amount of hematoma, increase the GCS score, improve the GOS status and improve the quality of life of the patients.