舒血宁注射液结合微创穿刺抽吸术治疗高血压性脑出血48例临床观察.docVIP

舒血宁注射液结合微创穿刺抽吸术治疗高血压性脑出血48例临床观察 【摘要】 目的探讨舒血宁注射液结合微创穿刺抽吸术治疗高血压性脑出血的临床疗效。方法将48例病人随机分为治疗组和对照组，治疗组在微创治疗及内科常规治疗的基础上于术后72 h予舒血宁20 ml加入生理盐水250 ml 静脉滴注，1次/d，共2周，对照组微创治疗及内科常规治疗。结果两组治疗均能改善患者临床症状，但治疗组基本痊愈率明显提高，而死亡率显著降低。结论舒血宁结合微创穿刺抽吸术治疗高血压性脑出血疗效优于单纯西医对照组。 【关键词】 舒血宁注射液； 微创穿刺抽吸术； 高血压脑出血 　　Clinical Study on Treatment of Minimally Invasive Surgery Combined with Shuxuening Injection for 48 Cases of Intracranial Hematoma Caused by Hypertension Cerebral Hemorrhage 　　　Abstract：ObjectiveTo study the therapeutic efficacy of minimally invasive surgery combined with Shuxuening injection for intracranial hematoma caused by hypertension cerebral hemorrhage.Methods48 cases of ICH caused by hypertension cerebral hemorrhage were divided randomly into two groups. The control group(24) was treated by minimally invasive surgery combined with conventional medical treatment ,and the treatment group was treated by Shuxuening injection combined with minimally invasive surgery and conventional medical treatment, the course of treatment was 2 weeks for each group.ResultsThe two groups could improve the clinical symptomes of the patients but the basic curative rate in the treatment group was significantly higher than that (33.3%) in the control group(12.5) (P＜0.05), and the rate of death significantly decreased . ConclusionThe Shuxuening injection that in minimally invasive surgery for intracranial hematoma caused by hypertension cerebral hemorrhage efficacy was higher than combined with that in simple western Medicine group. 　　Key words：Shuxuening injection; Minimally invasive surgery ; Intracranial hematoma caused by hypertension cerebral hemorrhage 2000年以来，我院应用颅内血肿微创穿刺抽吸术配合中成药舒血宁注射液及西药治疗高血压性脑出血48例。现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　48 例均为住院病例，随机分为微创穿刺抽吸术合用中西药组（治疗组）、微创穿刺抽吸术合用西药组（对照组）各24例，其性别、年龄、入院时神经功能缺损程度积分、伴发疾病计分、既往史积分、出血部位、血肿平均体积、平均血压等指标，经统计学处理差异均无显著性（P＜0.05）。 　　1.2 诊断标准 　　西医诊断标准采用1995 年中华医学会第4届脑血管病学术会议制订的《各类脑血管疾病诊断要点》中高血压性脑出血的诊断要点。入选病例还应具备：①发病后72 h内入院，确