醒脑开窍活血法治疗高血压性脑出血的临床研究
杨劲松，罗治华，钟妙文(广东省江门市新会中医院，广东江门 529100)
【摘要】 目的：观察醒脑开窍活血法治疗高血压性脑出血的临床疗效。方法：将58例出血量≥30 ml的高血压性脑出血患者随机分为治疗组30例和对照组28例。两组均在常规治疗基础上进行早期颅内血肿微创清除术。治疗组加醒脑静注射液20 ml静脉滴注；大黄粉每次1 g，每日3次口服或鼻饲；脑出血方治疗。结果：治疗组总有效率(80.0%)和显效率(66.7%)与对照组(64.3%和39.3%)相比差异均有显著性(P均<0.01)；治疗组日常生活能力显著优于对照组(P<0.05)；治疗组平均催醒时间(28.4 h)和再出血率(7.7%)与对照组(40.8 h和16.7%)相比差异均具有显著性(P均<0.01)；治疗组的病死率稍低于对照组,但差异无显著性(P>0.05)。结论：醒脑开窍活血法治疗高血压性脑出血能明显提高总有效率和患者的日常生活能力，缩短昏迷时间，减少再出血率。
【关键词】 醒脑开窍活血法；脑出血，高血压性；中西医结合治疗
Clinical study on methods of restoring consciousness, opening the orifice and activating blood circulation(醒脑开窍活血法) for treatment of hypertensive cerebral hemorrhage
YANG Jin-song, LUO Zhi-hua, ZHONG Miao-wen. Xinhui Hospital of Traditional Chinese Medicine, Jiangmen 529100, Guangdong, China
【Abstract】 Objective： To observe the clinically therapeutic effects of agents for restoring consciousness, opening the orifice and activating blood circulation (醒脑开窍活血法) on hyertensive cerebral hemorrhage(HCH).Methods： Fifty-eight cases with HCH (bleeding volume≥30 ml) were randomly divided into treatment group(30 cases) and control group(28 cases). Both groups were early treated by microinvasive hematoma removal operation of intracranial hematoma on the basis of routine treatment. Additionally, 20 ml Xingnaojing injection (醒脑静注射液) containing the above agents was injected intraveously and 1 g of rubarb powder dissolved in water was admininstered orally or via a gastric tube 3 times a day in the treatment group. ......
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