早期运用活血化瘀法治疗中小量高血压性脑出血38例疗效观察

目的:观察早期运用活血化瘀法治疗中小量高血压性脑出血的疗效。方法:将经CT检查确诊的急性期高血压性脑出血68例随机分为2组。治疗组38例,在西医常规综合治疗基础上加用香丹注射液静滴;对照组30例,采用西医常规综合治疗。2组均以28天为1疗程。观察2组疗效、治疗前后神经功能缺损积分及血肿吸收情况。结果:显效率、总有效率治疗组分别为65.79％、94.74％,对照组分别为40.00％、86.67％。2组显效率比较,差异有显著性意义(P<0.05);但总有效率比较,差异无显著性意义(P>0.05)。治疗后治疗组神经功能缺损积分与对照组比较,差异有显著性意义(P<0.05)。血肿完全吸收率治疗组与对照组比较,差异有显著性意义(P<0.05)。结论:早期运用活血化瘀法治疗中小量高血压性脑出血具有良好的作用,能促进颅内血肿吸收。

A Clinical Observation on Application of Blood-Circulation Activating and Blood- Stasis Removing Therapy for Early Stage of Moderate and Small Volume Hypertensive Cerebral Hemorrhage

Objective: To observe the curative effect of blood -circulation activating and blood - stasis removing therapy (BBT) forearly stage of hypertensive cerebral hemorrhage (HCH). Methods:68 cases of acute stage of HCH confirmed by CT were allocated to2 groups randomly. The treatment group (38 cases) was treated byroutine comprehensive treatment added with IV drips of Xiagdan in-jection and the control group (30 cases) by routine westernmedicine. 28 days constituted a course of treatment. The therapeu-tic effects, scoring of neural dysfunction and the absorption ofhematoma were observed before and after treatment. Results: Themarkedly effective rate and total effective rate were 65. 79% and94. 74% respectively in treatment group, and 40. 00% and86. 67% in control group, the markedly effective rate being signifi-cantly different between 2 group (P < 0.05) while the total effec-tive rate being no siginficantly different (P > 0.05). The scoring ofneural dysfunction after treatment was significantly different be-tween 2 groups (P < 0.05), while the absorptive rate of hematomawas also significantly different (P < 0.05). Conclusion: Applicationof BBT in the early stage of HCH possesses good curative effect,which can promote the absorption of intracranial hematoma.