中药灌胃加钻颅穿刺引流治疗高血压脑出血疗效观察

目的：研究高血压性脑出血的治疗方法，评价其治疗效果。方法：采用内科治疗（39例）和内科治疗加中药（老年降压冲剂）灌胃结合钻颅血肿穿刺引流（40例）2种方法，对79例高血压脑出血患者进行治疗，结果：中药灌胃加钻颅血肿穿刺组治愈率（32．5％）、总有效率（90．0％均明显高于内科组（分别为10．3％和46．2％），而且血肿完全清除时间明显短于内科组，并发症少于内科组。结论：中药灌胃加钻颅血肿穿刺引流是一种操作简便、安全有效的治疗高血压脑出血的方法。

Observations on curative effects of traditional Chinese herbs fed via ga st ric tube combined with drawing through skull puncture on hypertensive cerebral hemorrhage

Objective:To study the therapeutic method of treating hypertensive cerebral hemorrhage and to evaluate the curative effects.Methods:Thirtynine cases (A group) with hypertensive cerebral hemorrhage were treated with therapeutic method of internal medicine and other 40 cases (B group) treated with internal medicine combined with traditional Chinese herbs fed via gastric tube plus drawing hematoma through skull puncture.Results:The cured rate (32.5%) and effective rate (90.0%) in B group were significantly higher than those in A group (10.3% and 46.2% respectively) meanwhile the complete obsorbsion and clearance time of hematoma were significantly shorter,and the complications were lesser.Conclusions:The therapeutic method of traditional Chinese herb fed via gastrotube combined with drawing through skull puncture for treating hypertensive cerebral bleeding is easy to manipulate and worth spreading.