活血化瘀法治疗急性脑出血62例疗效观察

目的：观察早期应用活血化瘀法治疗中小量高血压脑出血的安全性及疗效。方法：将经头颅CT检查确诊的急性高血压性脑出血患者122例随机分为2组，出血量均〈20ml。对照组61例，给于控制血压、脱水降颅压及防止并发症等常规性治疗。治疗组61例，在常规性治疗同时于发病3天时应用活血化瘀方组，每日1剂。疗程21天。观察2组疗效。结果：与对照组相比，第21天后治疗组头颅CT检查血肿体积、水肿区明显消退，神经功能缺损评分较对照组好转。结论：早期使用活血化瘀法治疗中小量高血压性脑出血，能促进颅内血肿吸收、提高疗效、降低致残率，有效改善患者的远期预后。

Study on treating effect of treating acute cerebral hemorrhage with the method of promoting blood circulation and removing blood stasis

Objective： Make an observation of the security and effect of treating little or middle bleeding resulted from acute cerebral hemor- rhage with the method of promoting blood circulation and removing blood stasis. Method： 122 cases of acute cerebral hemorrhage formed a correct diagnosis with cranial CT scan were divided randomly in 2 treating groups. The amounts of bleeding in each of patients were all less than 20 ml. Control group were include 61 patients, which were given routine treatment, such as blood pressure control, decreasing intracra- nial pressure, preventing complication disease. Each treating group was included 61 patients, which were given routine treatment, and from the third days on, these were also given treatment with promoting blood circulation and removing blood stasis for 21 days, 1 dose for each day. Then the treating effect was observed. Result： By cranial CT scan after 21 days, the volume of hematoma and perilesional edema were im- proved significantly compared with the control group, and neurological function was also improved sigqlificantly. Conclusion： Through the method of promoting blood circulation and removing blood stasis in the early phase to treat little or middle bleeding resulted from acute cere- bral hemorrhage, the absorption of hematoma can be promoted, and the treating effect can be improved, and the disability rate can be de- creased, and also the long-term prognosis can be effectively improved.