颅内消淤汤在颅脑外伤治疗中的价值-神经外科学专业论文.docxVIP

治疗组平均血肿吸收时间分别为26．9±3．6D／18．6+4．1D，从而提高患者生存质量。 治疗组平均血肿吸收时间分别为26．9±3．6D／18．6+4．1D，从而提高患者生存 质量。 关键词：颅内消淤汤；TCD；血肿；GOS the the value of luneixiaoyu Decoction in traumatic brain injury treatment Objective：Compared the change of intracranial hemodynamics in major blood vessels in luneixiaoyu Decoction group and control group by taking the TCD，CT monitored the difference of intracranial hematoma absorption time， GOS score standard follow—up results，discuss the value of the luneixiaoyu Decoction in the treatment of Traumatic brain injury．Methods：60 patients with mild to moderate traumatic brain injury samples were divided into treatment and control groups．The control group treated with conventional Western medicine，the treatment group WaS added the treatment of luneixiaoyu Decoction based on conventional western medicine on the third day．TCD monitoring the obj ective data of middle cerebral artery in intracranial hemod)rnamic changes after traumatic brain injury；use of head CT to monitor the absorption of hematoma in the treatment course，calculated the average hematoma absorption time；compared the treatment of two groups by GOS score standard follow—up results after patients Were discharge two months later． Results：3 0 patients with mild injury,40％had hemodynamic changes after injury,were to speed blood flow,of the 30 cases of moderatetrauma patients， 70％had hemodynamic changes，of which 1 5 cases(5 0％)to speed blood flow，of the 6 patients(20％)to slow down blood flow．3-5 days after injury,the most obvious change，gradually returning to normal about 1 4 days．the blood flow of the MCA of two groups were increased significantly after injury，improved blood flow in the treatment group was beaer than the control group．Intracranial hematoma absorption time of the treatment group was significantly lower than the control groupi After treatment，the GOS scores better than the control group，two indicators were statistically significant compared．Conclusion：1、luneixiaoyu Decoction can a