五苓散对颅脑外伤后脑积水预防与控制治疗研究.docVIP

五苓散对颅脑外伤后脑积水预防与控制的治疗研究 　　【摘要】 目的 研究五苓散对颅脑外伤后脑积水预防与控制的治疗方法， 为临床治疗提供参考。方法 100例颅脑外伤后脑积水患者为研究对象， 随机分为观察组和对照组， 各50例。两组患者均接受侧脑室腹腔分流术， 观察组患者加用五苓散， 对比两组患者的治疗效果。结果 观察组患者无效5例、有效21例、显效24例， 总有效率为90.0%；对照组患者无效13例、有效17例、显效20例， 总有效率为74.0%；观察组总有效率高于对照组， 差异具有统计学意义 （χ2=4.336， P0.05）。观察组患者发生分流管堵管0例、硬膜下积液1例、感染1例， 并发症发生率为4.0%；对照组患者发生分流管堵管2例、硬膜下积液3例、感染3例， 并发症发生率为16.0%；观察组并发症发生率低于对照组， 差异具有统计学意义 （χ2=4.000， P0.05）。结论 五苓散对颅脑外伤后脑积水患者有着良好的治疗效果， 并发症的发生率大大下降， 值得临床应用。 　　【关键词】 颅脑外伤后脑积水；预防；控制；五苓散 　　DOI：10.14163/j.cnki.11-5547/r.2017.05.050 　　Treatment research of Wuling power on prevention and control of hydrocephalus after craniocerebral trauma MA Jian-jun， LIU Rong-hui， MA Zhong-hua， et al. Department of Neurosurgery， Liaoning Province Benxi Iron and Steel （Group） General Hospital， 117000， China 　　【Abstract】 Objective To research the treatment method for prevention and control of hydrocephalus after craniocerebral trauma， and to provide reference of clinical treatment. Methods A total of 100 hydrocephalus patients after craniocerebral trauma as study subjects were randomly divided into observation group and control group， with 50 cases in each group. Both groups received lateral ventricle peritoneal shunt， and the observation group also received Wuling power. Treatment effect was compared in two groups. Results The observation group had 5 ineffective cases， 21 effective cases and 24 excellent cases， with total effective rate as 90.0%， while the control group had 13 ineffective cases， 17 effective cases and 20 excellent cases， with total effective rate as 74.0%. The observation group had higher total effective rate than the control group， and the difference had statistical significance （χ2=4.336， P0.05）. The observation group had 0 shunt plugging case， 1 subdural effusion case and 1 infection case， with incidence of complications as 4.0%， while the control group had 2 shunt plugging cases， 3 subdural effusion cases and 3 infection cases， with incidence of complications as 16.0%. The observat