祛瘀开窍法治疗高血压脑出血术后脑水肿的临床疗效

目的探讨祛瘀开窍法治疗高血压脑出血术后脑水肿的临床疗效。方法选取我院2014-03-2014-09收治的高血压脑出血病人48例,随机分为实验组和对照组,实验组采取祛瘀开窍法联合西医综合治疗,对照组单用西医综合治疗,比较2组患者的术后脑水肿程度、格拉斯哥(GCS)评分、神经功能缺损评分及临床疗效。结果 2组术后24h、第3天脑水肿程度和GSC评分比较差异无统计学意义(P0.05),术后第7天、第14天组间比较,差异具有统计学意义(P0.05);术后24h、第14天神经功能缺损评分和疗效组间比较,实验组优于对照组,差异具有统计学意义(P0.05)。结论祛瘀开窍法治疗高血压脑出血术后的患者,可缓解脑水肿的程度,改善血流状态,提高患者临床疗效,值得推广。

Clinical effects of removing blood stasis and activating collaterals on postoperative cerebral edema in hyper-tensive intracerebral hemorrhage patients

Objective To observe the clinical effects of removing blood stasis and activating collaterals in the treatment of postoperative cerebral edema in patients with hypertension-induced intracerebral hemorrhage.Methods All of 48 patients diag-nosed with hypertensive intracerebral hemorrhage in our hospital from March 2014 to September 2014 were randomly divided into the experiment group and the control group.The experiment group carried out the therapy of removing blood stasis and ac-tivating collaterals combined with western medicine comprehensive treatment,and the control group performed western medi-cine comprehensive treatment.Degree of postoperative cerebral edema,GCS scores,and neurological defect scores,clinical cura-tive effect of two groups were compared.Results At 24 hours,3rd day after operation,the degree of postoperative cerebral ede-ma and GCS scores in two groups showed no significant difference (P >0.05),however,which disclosed statistically significant differences at 7th day and 14th day (P <0.05).In contrast to control group,the experiment group made better progress as for neurological defect scores (P <0.05).Conclusion The treatment that removes blood stasis and activates collaterals can alleviate the degree of cerebral edema,improve blood flow state and enhance clinical curative effect in patients with hypertensive intrace-rebral hemorrhage.