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生脉注射液云南白药和大黄粉治疗急性脑出血32例疗效观察
引用本文:周建燮,来华安,刘竹生.生脉注射液云南白药和大黄粉治疗急性脑出血32例疗效观察[J].中国中西医结合急救杂志,1999,6(1).
作者姓名:周建燮  来华安  刘竹生
作者单位:陕西省人民医院,陕西省中西医结合研究所,湛江海洋大学卫生科
摘    要:目的:观察生脉注射液、云南白药和大黄粉治疗急性脑出血的疗效。方法:对32例急性脑出血患者(治疗组)在西医常规治疗基础上加用生脉注射液静滴,云南白药和大黄粉口服(或鼻饲)。同期入院的31例急性脑出血患者(对照组)则采用西医常规治疗(即脱水、降颅压、保护脑细胞、抗感染、降血压及营养支持等治疗)。2组均连续治疗3周,比较其疗效。结果:治疗组总有效率为90.60%,对照组为67.74%,2组疗效有显著性差异(P<0.05)。治疗后患者意识障碍至清醒时间治疗组(4.5日)较对照组(5.9日)缩短;治疗组并发症发生率(21.9%)显著低于对照组(38.7%,P<0.05)。结论:在西医常规治疗基础上,静滴生脉注射液,口服(鼻饲)云南白药和大黄粉治疗急性脑出血有较好疗效

关 键 词:中西医结合疗法  脑出血.急性  生脉注射液  云南白药  大黄粉

The observations of curative efficacy of Shengmai Injection,Yunnan Baiyao and rubarb powder on treatment for 32 patients with acute cerebral hemorrhage
Abstract:Objective:To observe the curative efficacy of Shengmai Injection,Yunnan Baiyao and rubarb powder for patients with acute cerebral hemorrhage.Methods:32 patients with acute cerebral hemorrhage(treatment group) were treated with Shengmai Injection infused intravenously,Yunnan Baiyao and rubarb powder taken orally or via nasofeedingly on the basis of treatment with conventional western medicine;31 cases with acute cerebral hemorrhage(control group) who hospitalized at the same period were treated with western medicine only i.e.dehydration,suppressing ICP,preventing cerebral cells,antiinfection,antihypertention and nutritional support and so on.The therapeutic course was 3 weeks for both treatment and control group,and the therapeutic efficacy was compared.Results:The total effective rate was 90 60% in treatment group and 67 74% in control group,respectively.There was a significant difference between two groups ( P <0 05).The duration (4 5 days) from unconsciousness to consciousness in treatment group was shorter than that (5 9 days) in control group.The occurance rate of complications(21 9%) in treatment group was significantly lower than that (38 7%) in control group ( P <0 05).Conclusions:Based on the treatment with conventional western medicine infusing Shengmai Injection,taking Yunnan Baiyao and rubarb powder orally (nosofeedingly)possess better curative efficacy.
Keywords:TCM WM therapy  acute cerebral hemorrhage  Shengmai Injection  Yunnan Baiyao  rubarb powder
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