摘要
目的探索在西医治疗基础上配合以活血化瘀法为主中药治疗急性期脑挫裂伤的临床效果。方法将87例脑挫裂伤患者按随机原则分为中药治疗组（46例）和西药治疗对照组（41例）。对照组给予常规西药治疗；中药组在西医治疗基础上辨证给予中药治疗。分别于治疗后5d和10d及3个月观察两组患者的治疗效果。结果治疗5d后中药组清醒28例，昏迷13例，死亡5例，对照组分别为10、25、6例；治疗10d后中药组清醒31例，昏迷9例，死亡6例，对照组分别为17、17、7例；两组清醒和昏迷例数比较差异均有统计学意义（P〈0．05或P〈0．01）。治疗3个月后，中药组恢复良好26例，轻残10例，重残4例，死亡6例，对照组分别为10、22、2、7例，两组恢复良好、轻残例数比较差异均有统计学意义（均P〈0．01）。结论在西医治疗的基础上配合以活血化瘀法为主中药治疗急性期脑挫裂伤，对促进患者清醒、降低致残率有明显疗效。
Objective To explore the clinical therapeutic effect of treatment of brain contusion by western method as the base combined primarily with traditional Chinese medicine method of activating blood circulation. Methods Eighty-seven eases of cerebral contusion were randomly divided into treatment group （46 cases） and control group （41 eases）. Both groups took western medicine for treatment. In the Chinese herb group, according to the patient＇s individual symptoms and signs, different traditional Chinese herbs were additionally administered. After treatment for 5 days, 10 days and 3 months,the therapeutic effects of patients in the two groups were observed. Results After 5 days of treatment, in the Chinese herb group, 28 eases recovered their consciousness, 13 cases remained comatose and 5 eases died, while in the control group, they were 10, 25 and 6 respectively. After 10 days of treatment, in the Chinese herb group, 31 cases recovered their consciousness, 9 cases remained comatose and 6 eases died, while in the control group, they were 17, 17 and 7 respectively. There were statistical significant differences in the comparisons of numbers of patients with recovery of consciousness and remaining comatose between the two groups （P〈0.05 or P〈0. 01）. After 3 months of treatment, in the Chinese herb group, 26 cases recovered well, 10 eases were mildly handicapped, 4 cases severely handicapped and 6 cases died, while in the control group, they were 10, 22, 2 and 7 respectively. There were statistical significant differences in the comparisons of numbers of patients with recovery well and mild handicap between the two groups （all P〈0.01）. Conclusion Western medicine as the base combined primarily with activating blood circulation method of traditional Chinese medicine has significant effect on promotion of conscious recovery and reduction of disability rate in treatment of patients with acute cerebral contusion.
出处
《中国中西医结合急救杂志》
CAS
北大核心
2011年第5期277-279,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
广东省建设中医药强省项目（2009351）
关键词
脑挫裂伤
中医药疗法
活血化瘀法
中西医结合疗法
Brain contusion
Chinese medicine treatment
Activating blood circulation method
Combined treatment of traditional Chinese and western medieinet
