论文部分内容阅读
目的:探讨中西医结合方法治疗创伤性蛛网膜下腔出血(tSAH)的临床疗效。方法:选择颅脑损伤后24h内入院且无其他部位复合伤的SAH患者60例,分为西医组和中西组,每组30例。两组均给予脑脊液置换术和西医常规治疗,中西组加用中药清热活血方。结果:两组的血浆NPY水平没有明显差异。但中西组较西医组患者头痛程度明显缓解,患者的头痛和颈强直的持续时间缩短(P<0.05)。1个月后,中西组的临床治愈率(63.3%)和总有效率(临床治愈+显著好转,83.3%)明显高于西医组(36.7%和53.3%),两组比较差异均有显著性(P<0.05)。中西组死亡率较西医组明显下降,但差异无显著性(P>0.05)。结论:清热活血法联合脑脊液置换术治疗创伤性SAH更稳定可靠,减少了并发症的发生,缩短了临床症状恢复时间,疗效更好。
Objective: To investigate the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of traumatic subarachnoid hemorrhage (tSAH). Methods: Sixty patients with SAH who were hospitalized within 24 hours after craniocerebral injury without any other component combined injury were divided into two groups, 30 cases in each group. Both groups were given cerebrospinal fluid replacement and Western conventional treatment, Chinese and Western plus traditional Chinese medicine Qingre Huoxue side. RESULTS: Plasma NPY levels did not differ significantly between the two groups. However, the headache of patients in Western medicine group and Western medicine group was significantly relieved, and the duration of headache and neck stiffness was shorter in both groups (P <0.05). After 1 month, the clinical cure rate (63.3%) and total effective rate (clinical cure + significant improvement, 83.3%) in Chinese and Western groups were significantly higher than that in Western medicine group (36.7% and 53.3%), the difference was significant (P <0.05). The mortality rate in Western medicine group was significantly lower than that in Western medicine group, but the difference was not significant (P> 0.05). Conclusion: Clearing heat and promoting blood circulation combined with cerebrospinal fluid replacement is more stable and reliable for traumatic SAH, reducing the incidence of complications and shortening the recovery time of clinical symptoms, with a better therapeutic effect.