摘要
目的探讨提高高血压脑出血临床疗效的救治方案。方法采用随机对照试验方法对72例高血压脑出血患者进行分组治疗研究。治疗组32例，采用中西医结合方案（包括超早期手术，常规西医、西药及中药川芎嗪注射液静脉滴注等综合救治方案）；对照组40例，采用手术、常规西医、西药治疗。连续治疗28d后进行疗效评定。结果治疗组临床疗效明显优于对照组（χ2=4．15、3．26，P〈0．05），治疗组病死率明显较对照组减低（χ2=8．04，P〈0．05）；并发症发生率治疗组低于对照组（χ2=11．37，P=0．01）。结论。超早期手术联合中药治疗高血压脑出血疗效较不用中药组为好。
Objective To explore an effective treatment for hypertensive intraeerebral hemorrhage. Methods By the method of random and control ,patients with hypertensive intracerebral hemorrhage were randomly divided in- to two groups ：the treatment group（32 patients） was treated with integrated traditional Chinese and western medicine therapy,including super-early operation,conventional western medicine and Chuanxiongqin injection treatment. The control group（40 patients） was treated with operation and conventional western medicine treatment. The effect was e- valuated on 28 th day after treatment. Results The effect of the treatment group was superior to that of the control group（ χ2 = 4. 15,3.26 ,P 〈 0. 05 ）. The treatment group had lower mortality rate （χ2= 8.04, P 〈 0.05 ） and lower morbidity of complications （ pulmonary infection： 6/16 cases, χ2= 11.37, P = 0. 01 ; upper-congestive hemorrhage ： 8/ 16 cases,χ2 =4. 10,P =0. 04） ,statistical data indicated that there was significant difference between treatment group and control group. Conclusion Super-early operation with traditional Chinese medicine in treatment of hypertensive intraeerebral henorrhage has a better effect than the treatment without traditional Chinese medicine.
出处
《中国基层医药》
CAS
2010年第2期174-175,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
脑出血
高血压
止血
手术
川芎嗪
Cerebral hemorrhage, hypertensive
Hemostasis, surgical
Chuanxiongqin injection
