中西医结合治疗重度颅脑外伤昏迷患者临床观察

目的:观察中药对重度颅脑外伤昏迷的作用。方法:将102例患者随机分为两组。对照组50例采用纳洛酮治疗,治疗组52例加用醒脑静治疗。结果:治疗组和对照组治疗1个月的促醒率分别为76.92%、48.00%;GOS预后分级恢复良好率分别为44.23%、20.00%;并发症发生率分别为26.92%、58.00%;组间比较,差异均有统计学意义(P<0.05)。2组治疗后GCS和GOS评分均升高,EOPD和EOLD评分均降低,以治疗组变化更为明显;与本组治疗前比较,各时间点差异均有统计学意义(P<0.05,P<0.01);组间比较,差异均有统计学意义(P<0.05)。结论:中西医结合疗法可有效促进重度颅脑外伤昏迷患者的苏醒,改善患者预后,降低并发症的发生,临床疗效优于单纯西医治疗。

Clinical Observation of Combining Treating Patients with Severe Chinese and Western Medicine on Craniocerebral Trauma Coma

Objective：To observe the clinical effect of traditional Chinese medicine on patients with severe cranioeere- bral trauma coma. Method：A total of 102 patients were divided into two groups. 50 eases treated with naloxone were taken as the control group,and the other 52 cases treated with Xingnaojing Injection on the basis of the control group？ were taken as the observation group. Results ： The promote - waking rate after treatment with one month of observation group and control group was 76.92% and 48.00% respectively. The favorable rate of recovery of GOS prognosis classification was 44.23% and 20.00% respectively. The complication probability was 26.92% and 58.00% respectively, and the differ- ences had statistical significance （ P 〈 0.05 ）. After treatment, the scores of GCS and GOS increased and the scores of EOPD and EOLD reduced, and the change of observation group was more obvious. The differences within groups and be- tween groups had statistical significance （ P 〈 0.05 ）. Conclusion ： Combination of traditional Chinese and western medicine can improve the waking up of patients with severe cranioeerehral trauma coma, improve the prognosis of patients and re- duce complications, and the clinical efficacy is superior to pure western medicine.