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zhong yao pei he wei chuang qing chu shu zhi liao man xing ying mo xia xue zhong de lin chuang guan cha
Author(s): 
Pages: 375-376
Year: Issue:  3
Journal: Research of Traditional Chinese Medicine

Keyword:  慢性硬膜下血肿微创清除术补阳还五汤五苓散;
Abstract: 目的中药配合微创清除术治疗慢性硬膜下血肿的临床疗效观察。方法将31例慢性硬膜下大量血肿病人随机分为治疗组(19例)和对照组(12例),两组采用YL-1型颅内血肿粉碎针对病人血肿中心进行微创引流术,引流血肿约2d3d,观察血肿量及血肿吸收情况,配合脱水利尿降颅压,纠正电解质紊乱,对症支持方法治疗。治疗组加用中药活血化瘀平肝利水之法治疗,方选补阳还五汤合五苓散化栽。对两组血肿的吸收情况、临床症状体征及并发症进行对比分析。结果两组硬膜下血肿早期(1周)吸收率治疗组(15/19)与对照组(6/12)比较有统计学意义(P<0.05);治疗组痊愈率(16/19)与对照组(7/12)比较亦有统计学意义(P<0.05)。结论中药配合微创清除术治疗慢性硬膜下血肿可显著提高早期血肿吸收率,提高临床治愈率。
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