中西医结合对tSAH致CVS的临床观察

  本文关键词：中西医结合对tSAH致CVS的临床观察，由笔耕文化传播整理发布。

        目的：探讨“补肾活血法”对外伤后蛛网膜下腔出血致脑血管痉挛的临床疗效。方法：将60例符合标准的患者随机分成2组：对照组29例，，给予现代医学常规治疗（尼莫地平等），治疗组31例，在现代医学常规治疗的基础上，加用“补肾活血法”，观察两组患者患侧的大脑中动脉流速、改良Fisher分级及临床表现的变化。结果：1、治疗组的大脑中动脉平均流速及改良Fisher分级指数明显低于对照组，P＜0.05。2、治疗组近期疗效明显优于对照组，P＜0.05。结论：1、治疗组与对照组均能有效降低大脑总动脉流速、改良Fisher分级指数，减轻患者临床症状和体征。2、对照组与治疗组之间有显著性差异，治疗组疗效优于对照组疗效。

    Objective:To investigate the clinical effect of the bushenhuoxue therapy onCerebral vasospasm(CVS) after traumatic subarachnoid hemorrhage(tSAH). Metnods：60eligible cases were randonly divided into2groups：29cases of control group givenWestern medicine treatment (Nimodipined and so on);31cases of treatmeat group weregiven traditional Chinese medicine(bushenhuoxue therapy) and Western medicinetreatmeat There was no significant differences in the age, sexnal distinction and theconditions.To compared the Vm of the middle cerebral artery that were measured byTranscranial Doppler(TCD),Improving-Fisher score(CT) and clinical symptoms.Results:The treatmeat group was slower than the other groups in the Vm the MCA andImproving-Fisher score(P＜0.05）.the treatmeat groups improment was better than that ofthe control group(P＜0.05）.Conclusion:1、The two treatmeat methods can improve theclinic symptoms and medical record.2、The dffect of the treatment groups(bushenhuoxuetherapy and nimodipine) is positive and satisfactory.

        中西医结合对tSAH致CVS的临床观察

提要3-4Abstract4引言7-8临床研究8-13    1 一般资料8-9        1.1 研究对象8        1.2 病例分组8        1.3 纳入标准8        1.4 排除标准8        1.5 观察项目8-9    2 研究方法9        2.1 对照组治疗方法9        2.2 治疗组治疗方法9        2.3 统计学处理9    3 结果9-13        3.1 两组患者治疗前的比较9-11        3.2 两组患者治疗后临床资料的比较11-13讨论13-21    1 现代医学对外伤后蛛网膜下腔出血的探讨13-15    2 外伤后蛛网膜下腔出血的中医认识15-17        2.1 中医学对脑之解剖的认识15-16        2.2 病名归属16-17    3 补肾活血法立法依据17-18    4 中药汤剂分析18-19    5 急性期活血化瘀法的应用19-20    6 本研究尚未解决问题与展望20-21结论21-22参考文献22-24综述24-31    参考文献29-31附录31-33致谢33-34发表论文34-37详细摘要37-42

  本文关键词：中西医结合对tSAH致CVS的临床观察，由笔耕文化传播整理发布。