摘要
目的 :探讨中西医结合对重型颅脑损伤的治疗作用。方法 :将 12 1例重型颅脑损伤患者随机分成 2组 ,西医治疗组 6 0例 ,中西医结合治疗组 6 1例。中西医结合组在西医组治疗的基础上加用参麦注射液、清开灵注射液和云南白药进行治疗 ,对比 2组治疗结果。结果 :中西医结合组病死率 (2 9.5 0 % )低于西医组 (38.33% ) ;肺部感染发生率 (38.33% )及多器官功能障碍发生率 (1.6 4%～ 18.0 3% )均明显低于西医组 (分别为 19.6 7%和 6 .6 7%～ 43.33% ) ,P均 <0 .0 5。 2组存活人群按格拉斯哥预后评分 (Glasgow outcom e scale,GOS)进行治疗结果分级比较 ,中西医结合组患者康复的良好率 (5 3.49% )和重残率 (9.30 % )均明显好于西医组 (分别为 2 7.0 3%和 40 .5 4% )。结论 :中西医结合治疗重型颅脑损伤可以降低患者的重残率 。
Objective:To explore the clinical curative effect of integrated traditional Chinese medicine and western medicine(TCMWM) for severe head injury.Methods:One hundred and twentyone cases with sever head injury were randomly divided into two groups.Conventional therapy of western medicine group( n =60).Based on conventional western medicine therapy,the Shenmai injection(参麦注射液),Qingkailin injection(清开灵注射液) and Yunnan Baiyao(云南白药) were added treated in TCMWH group( n =61).Then the curative effects were observed,analysis and contrast in two groups.Results:The overall mortality in TCMWM group(29 50%) was lower than that in western medicine group (38 33%).The incidence rate of lung infection in TCMWM group (38 33%) and multiple organ dysfunction syndrome(1 64% to 18 03%) were obviously lower than those in western medicine group (19 67%,6 67% to 43 33%),all P <0 05.Glasgow outcome scale(GOS) in life patients of TCMWM group were obviously improved than that in western medicine group.Conclusions:TCMWM therapy may reduced disability rate,improve treatment effect and quality of life on severe head injury.
出处
《中国中西医结合急救杂志》
CAS
2001年第5期316-317,共2页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
关键词
颅脑损伤
重型
中西医结合治疗
severe head injury
integrated traditional Chinese medicine and western medicine therapy
