| 288例动脉瘤性蛛网膜下腔出血围术期的中西结合诊治 |
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| 引用本文： | 马朝晖,李铁林,黄燕,李贵福,黄胜平,白小欣,罗望池,尤劲松,朱吉祥,张燕婷.288例动脉瘤性蛛网膜下腔出血围术期的中西结合诊治[J].中西医结合心脑血管病杂志,2012,10(1):51-53. |
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| 作者姓名： | 马朝晖 李铁林 黄燕 李贵福 黄胜平 白小欣 罗望池 尤劲松 朱吉祥 张燕婷 |
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| 作者单位： | 1. 广州中医药大学第二临床医学院博士后流动站,510120
2. 广东省中医院脑病中心,510120 |
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| 基金项目： | 中国广州中医药大学博士后科学研究资助项目(No.BBK429112K06);国家中医药管理局中医药科学技术专项基金(No.06-07LP31);广东省中医药管理局科学研究基金(No.7008322) |
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| 摘 要： | 目的探讨中西结合诊治动脉瘤性蛛网膜下腔出血围术期并发症的有效性、效应点及新思路。方法回顾2005年3月—2009年12月收治的288例动脉瘤性蛛网膜下腔出血患者,行动脉瘤栓塞或夹闭术248例,围术期给予常规西医治疗,中医以中风及阴阳类证论治,240例接受中医治疗,48例未予中医治疗。用Logistic回归分析,影响出院时GOS相关因素,比较围术期并发症发生率。结果 Logistic回归分析发现,采取中医治疗影响预后良好(P=0.032),中医治疗组明显减少肺部感染(P=0.018)及消化道出血(P=0.013)并发症。结论中西结合治疗能改善动脉瘤性蛛网膜下腔出血患者预后,减少并发症。
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| 关 键 词： | 颅内动脉瘤 蛛网膜下腔出血 并发症 围术期 |
Diagnosis and Treatment of 288 Patients with Aneurysmal Subarachnoid Hemorrhage in Perioperative Phase by Integrative Traditional and Western Medicine |
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| Institution: | Ma Zhaohui,Li Tielin,Huang Yan,et alThe 3rd Department of Neurology,Guangdong Hospital of Traditional Chinese Medicine(Guangzhou 510120) |
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| Abstract: | Objective To investigate the effect of integrative traditional and western medicine on aneurysmal subarachnoid hemorrhage.Methods Among 288 patients(pts) with aneurysmal subarachnoid hemorrhage,embolization or clipping surgery were performed in 248 pts.Based on conventional western medicine in perioperative,phase 240 pts received of traditional Chinese medicine(TCM) treatment based on yin and yang categories,48 pts were not received TCM treatment.The factors affecting the Glasgow Outcome Scale(GOS) at discharge and incidence of complications in perioperative phase were analyzed with logistic regression analysis.Results Logistic regression analysis showed TCM treatment could significantly affect the prognosis(P=0.032),reduce the pulmonary infection(P=0.018) and gastrointestinal bleeding(P=0.013).Conclusion Integrative traditional and western medicine can improve outcomes of pts with aneurysmal subarachnoid hemorrhage and reduce the complications. |
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| Keywords: | intracranial aneurysm subarachnoid hemorrhage complication perioperative phase |
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