摘要
目的探讨血府逐瘀汤联合标准大骨瓣减压术治疗重型颅脑损伤的临床效果。方法选取我院收治的64例重型颅脑损伤患者为研究对象,根据治疗方式不同将其分为对照组(标准大骨瓣减压术)和观察组(标准大骨瓣减压术+血府逐瘀汤),各32例。比较两组的治疗效果。结果治疗后3个月,观察组的GOS、NIHSS评分均优于对照组(P<0.05);治疗后1周及1个月,观察组IL-6、IL-1β、hs-CRP水平均低于对照组(P<0.05);观察组治疗总有效率高于对照组(P<0.05)。结论血府逐瘀汤联合标准大骨瓣减压术治疗重型颅脑损伤可改善患者微循环、预后及神经功能,有效降低炎性反应程度,提高治疗有效率。
Objective To explore the clinical effect of Xuefu Zhuyu decoction combined with standard large trauma craniotomy in the treatment of severe craniocerebral injury. Methods A total of 64 patients with severe craniocerebral injury admitted in our hospital were selected as the research objects. According to different treatment methods, the patients were divided into control group(standard large trauma craniotomy) and observation group(standard large trauma craniotomy+Xuefu Zhuyu decoction), with 32 cases in each group. The therapeutic effects of the two groups were compared. Results The scores of GOS and NIHSS of the observation group at 3 months after treatment were better than those of the control group(P<0.05). The levels of IL-6、IL-1β and hs-CRP in the observation group were lower than those in the control group at 1 week and 1 month after treatment(P<0.05). The total effective rate of treatment in the observation group was higher than that in the control group(P <0.05). Conclusion Xuefu Zhuyu decoction combined with standard large trauma craniotomy for severe craniocerebral injury can improve microcirculation, prognosis and neurological function, effectively reduce the degree of inflammatory response, and increase the therapeutic efficiency of patients.
作者
郭超
GUO Chao(Traditional Chinese Medicine Hospital of Shanyang County, Shangluo 726400, China)
出处
《临床医学研究与实践》
2019年第25期127-128,共2页
Clinical Research and Practice
关键词
血府逐瘀汤
标准大骨瓣减压术
重型颅脑损伤
Xuefu Zhuyu decoction
standard large trauma craniotomy
severe craniocerebral injury