摘要
目的探讨自拟通瘀汤对脑出血恢复期患者神经功能缺损、并发症发生率及预后的影响。方法120例脑出血恢复期患者,随机分为观察组与对照组,各60例。对照组采用常规的药物治疗和康复训练,而观察组则在此基础上采用自拟通瘀汤治疗。比较两组患者治疗效果、治疗前后神经功能缺损情况以及并发症发生率。结果观察组治疗显效30例,有效25例,无效5例,治疗总有效率为91.67%;对照组治疗显效21例,有效21例,无效18例,治疗总有效率为70.00%。观察组治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。治疗后,观察组患者神经功能缺损评分(11.23±5.17)分低于对照组的(16.57±6.94)分,差异具有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论在常规的药物治疗和康复训练上结合自拟通瘀汤治疗脑出血恢复期患者的临床效果显著,有效减少了患者的并发症发生率,改善患者神经功能受损的情况,具有临床推广运用的价值。
Objective To discuss the effect of self-made Tongyu Decoction on neurological function defect, incidence of complications and prognosis of patients with cerebral hemorrhage at convalescence stage. Methods A total of 120 patients with cerebral hemorrhage in recovery period were randomly divided into observation group and control group, with 60 cases in each group. The control group was treated with conventional medication and rehabilitation training, while the observation group was treated with self-made Tongyu Decoction on the basis of the control group. The therapeutic effect, neurological function defect before and after treatment and incidence of complications were compared between the two groups. Results In the observation group, 30 cases were excellent, 25 cases were effective, 5 cases were ineffective, with total effective rate as 91.67%;in the control group, 21 cases were excellent, 21 cases were effective, 18 cases were ineffective, with total effective rate as 70.00%. The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). After treatment, the neurological function score(11.23± 5.17) points of the observation group was lower than(16.57±6.94) points of the control group, and the difference was statistically significant(P<0.05). The incidence of complications of the observation group was lower than that of the control group, and the difference was statistically significant(P<0.05). Conclusion Combined with conventional medication and rehabilitation training, self-made Tongyu Decoction shows significant clinical effect in the treatment of patients with cerebral hemorrhage at convalescence stage, which can effectively reduce the incidence of complications in patients and improves their neurological function defect. It has the value of clinical promotion and application.
作者
徐宏
韩引杰
XU Hong;HAN Yin-jie(Dongguan Qingxi Hospital,Dongguan 523660,China)
出处
《中国实用医药》
2021年第12期163-165,共3页
China Practical Medicine
关键词
自拟通瘀汤
脑出血恢复期
神经功能缺损
并发症发生率
预后
Self-made Tongyu Decoction
Cerebral hemorrhage at convalescence stage
Neurological function defect
Incidence of complications
Prognosis
