摘要
目的:观察在西医常规治疗的基础上采用活血化瘀中药联合醒脑开窍针法治疗高血压脑出血的临床疗效。方法:将100例患者随机分为观察组、对照组各50例,对照组给予常规内科综合治疗,观察组在对照组治疗的基础之上加用活血化瘀中药和醒脑开窍针法治疗,2组均连续治疗21天,比较2组治疗前后血肿体积、促醒效果[格拉斯哥昏迷评分(GCS)]、临床疗效及治疗后6个月随访时的生活质量[生存质量测定量表简表(QOL-BREF)评分及日常生活活动量表Barthel指数(BI)评分]。结果:总有效率观察组为88.0%,对照组为82.0%,观察组高于对照组,但2组比较差异无统计学意义(P<0.05)。血肿体积治疗第7天和第21天时,2组均较入组当天显著缩小(P<0.05),且在第7天时观察组显著低于对照组(P<0.05)。GCS评分治疗第7天和第21天时,2组均较入组当天显著升高(P<0.05),且观察组显著高于对照组(P<0.05)。QOL-BREF评分和BI评分治疗后6个月时较入组当天显著升高(P<0.05),且观察组的明显高于对照组(P<0.05)。结论:在西医常规治疗的基础上采用活血化瘀中药联合醒脑开窍针法治疗高血压脑出血,可提高临床疗效,改善临床症状,促进患者苏醒,提高生存质量。
Objective:To observe clinical effects of the drugs of blood-activating and stasis-removing combined with restoring consciousness and resuscitation needling method in treating hypertensive cerebral hemorrhage on the foundation of routine treatment of western medicine.Methods:One hundred patients were randomly divided into the observation group and the control group,50cases each group,the control group accepted conventional comprehensive medical treatment,the observation group received the drugs of blood-activating and stasis-removing combined with restoring consciousness and resuscitation needling method,both groups were treated for21days consecutively,the size of hematoma,Glasgow coma score(GCS),clinical effects and life qualify Barthel index(BI)]of the patients(QOL-BREF)and were compared in both groups between before and after treating.Results:Total effective rate of the observation group was88.0%,higher than82.0%of the control group,while the difference had no statistical meaning in the comparisons between both groups(P<0.05).The size of hematoma decreased notably at the seventh day and21st day after treating compared with that of the patients when they entered into the groups(P<0.05),and the observation group was lower than the control group remarkably at the seventh day(P<0.05).GCS scales rose at the seventh day and21st day after treating compared with these of the patients when they entered into the groups evidently(P<0.05),and the observation group was higher than the control group notably(P<0.05).QOL-BREF scales and BI scales rose in six months after treating compared with these of the patients when they entered into the groups evidently(P<0.05),and the observation group was higher than the control group notably(P<0.05).Conclusion:The drugs of blood-activating and stasis-removing combined with restoring consciousness and resuscitation needling method in treating hypertensive cerebral hemorrhage could raise clinical effects,improve clinical symptoms,promote resuscitation and raise life quality.
作者
王波
齐晓霞
李子富
牛世勇
党国宏
高燕
WANG Bo;QI Xiaoxia;LI Zifu;NIU Shiyong;DANG Guohong;GAO Yan(Yan’an Municipality TCM Hospital, Yan’an 716000, China)
出处
《西部中医药》
2017年第6期86-88,共3页
Western Journal of Traditional Chinese Medicine
关键词
脑出血
高血压
中药
针刺
促醒效果
生存质量
cerebral hemorrhage, hypertension
herbs
needling
resuscitation effects
life quality
