血肿微创清除术结合中药治疗高血压脑出血的疗效观察

目的:探讨血肿微创清除术结合中药治疗高血压脑出血(ICH)的临床疗效。方法:选取2008年6月-2010年6月收治的高血压脑出血患者112例,按随机数字表法分为观察组和对照组各56例。两组均给予常规内科治疗和血肿微创清除术,观察组在此基础上结合中药治疗。结果:观察组基本痊愈率(46.43%)、总有效率(87.50%)均明显高于对照组(21.43%、66.07%),差异有统计学(P0.05);观察组治疗后7、14天血肿体积均小于对照组,在14天时有显著性差异(P0.05);观察组治疗后30、90天时NDS和ADL均显著优于对照组(均P0.05)。结论:血肿微创清除术结合中药治疗ICH能加快残留血肿吸收,有效促进神经功能恢复,提高日常生活能力,降低了病死率和致残率,值得临床推广应用。

Curative Effect Observation of Micro-Invasive Surgical for Hematoma Combine with Traditional Chinese Medicine Therapy on Patients with Hypertensive Cerebral Hemorrhage

Objective:To investigate the curative effect of micro-invasive surgical for hematoma combined with traditional Chinese medicine therapy on patients with hypertensive cerebral hemorrhage.Methods:A total of 112 cases of patients with hypertensive intracerebral hemorrhage were selected from June 2008 to June 2010 in our hospital and were randomly divided into observation group and control group with 56 cases in each group.Both groups were given conventional medical treatment and micro-invasive surgical for hematoma therapy,on this basis the observation group were given traditional Chinese medicine.Results:The basic recovery rate was 46.43%,the total efficiency rate was 87.50% of observation group,which were significantly higher than those of control group(21.43%,66.07%),the difference was statistically different(P<0.05);the hematoma volume of observation group was less than that of the control group 7,14 days after treatment,there was a significant difference between groups on the 14th day(P<0.05);NDS and ADL of observation group were significantly better than those of the control group 30,90 days after treatment(P <0.05).Conclusions:Micro-invasive surgical for hematoma combined with traditional Chinese therapy on ICH can speed up the absorption of residual hematoma,effectively promote the recovery of neurological function,improve daily living and reduce the mortality and morbidity.It is worthy of clinical application.