凉血散瘀汤联合小牛血清去蛋白治疗脑出血急性期的疗效

苏晓红1 ，赵亚军2

（1.陕西省韩城市妇幼保健院，陕西 渭南，715400；2.陕西省韩城市人民医院，陕西 渭南，715400）

浏览次数：75次 下载次数：363次

摘要：

目的 分析凉血散瘀汤联合小牛血清去蛋白治疗脑出血急性期的疗效。方法 选择我院2014年3月至2016年4月收治的100例脑出血急性期患者，按照数字随机方式将全部患者分成对照组和试验组，各50例，对照组患者选择小牛血清去蛋白治疗，试验组患者则选择凉血散瘀汤联合小牛血清去蛋白治疗，比较两组患者的治疗效果。结果 试验组临床治疗总有效 率为92.0%（46/50）明显高于对照组的72.0%（36/50）（P<0.05）。治疗后，试验组患者的出血量为（3.77±1.37）mL，明显少于对照组的（5.03±1.52）mL（t=4.3540，P=0.0000）。结论 凉血散瘀汤联合小牛血清去蛋白治疗脑出血急性期具有比较显著的临床效果，具有临床应用和推广价值。

关键词：凉血散瘀汤；小牛血清去蛋白；脑出血急性期

中图分类号：R743.34文献标志码：A文章编号：2096-1413(2017)20-0027-02

Effect of Liangxue Sanyu decotion combined with deproteinized calf serum on acute cerebral hemorrhage
SU Xiao-hong 1, ZHAO Ya-jun 2
(1. Hancheng Maternal and Child Health Hospital, Weinan 715400; 2. Hancheng People``s Hospital, Weinan 715400, China)

ABSTRACT: Objective To analyze the effect of Liangxue Sanyu decotion combined with deproteinized calf serum on acute cerebral hemorrhage. Methods From March 2014 to April 2016, 100 acute phase of cerebral hemorrhage patients were selected and divided into control group and experimental group according to the random number way, with 50 cases in each group. The control group was treated with the calf serum protein treatment, while the experimental group patients accepted Liangxue Sanyu decotion combined with deproteinized calf serum, the clinical effects were compared in the two groups. Results The total effective rate in the experimental group was 92.0% (46/50), which was significantly higher than 72.0% in the control group (36/50) (P<0.05); after treatment, the amount of bleeding in the experimental group was (3.77±1.37) mL, which was significantly lower than (5.03±1.52) mL of the control group (t=4.3540, P=0.0000). Conclusion Liangxue Sanyu decotion combined with deproteinized calf serum on acute cerebral hemorrhage has significant clinical effect, which has clinical application and promotion value.
KEYWORDS: Liangxue Sanyu decotion; deproteinized calf serum; acute cerebral hemorrhage

参考文献：
[1] 马慧敏,过伟峰,袁园,等.凉血通瘀方治疗96 例脑出血急性期瘀热阻窍证疗效观察[J].北京中医药大学学报,2011,34(5):348-352.
[2] 莫秀清,甘宝三,黎洪芳.预见性护理干预在脑出血急性期患者中的应用效果分析[J].内科,2015,10(6):910-912.
[3] 朱建军,倪慧.凉血散瘀汤联合小牛血清去蛋白治疗脑出血急性期临床观察[J].中国中医急症,2016,25(1):133-135.
[4] 杨光,程越朋,姜丽杰.小牛血去蛋白提取物注射液联合高压氧治疗高血压脑出血的疗效分析[J].中国医药指南,2013,11(16):16-17.
[5] 况时祥,李玫,张鉴梅,等.凉血散瘀汤治疗脑出血急性期临床研究[J].中国中医急症,2007,16(11):1318-1320.
[6] 唐桂华,况时祥,李玫.凉血散瘀汤治疗脑出血急性期的初步研究[C]//兴义:贵州省医学会神经病学分会学术年会.2006.
[7] 陈晓锋.不同时间窗给予活血化瘀中药三七治疗脑出血急性期大鼠的安全性评估[J].中国中西医结合急救杂志,2011,18(4):213-215.
[8] 谢欣颖.浅析中医发展面临的考验[J].中华现代中医学杂志,2006,2(6):502-505.
[9] 乔明琦,魏盛,张惠云,等.概念转变:"探查对象,转变认识"引导理论与教学及思维变革:现代中医基础理论系列研究(中篇Ⅲ)[J].世界科学技术:中医药现代化,2014,16(8):1678-1687.
[10] 徐伟忠,徐开联,付延导.小牛血清去蛋白注射液对脑细胞缺血缺氧的保护作用及临床应用[J].医药前沿,2014,22(9):137-138.
[11] 韩冠先,杨柳,张善举,等.五苓逐瘀汤治疗脑出血急性期的研究[J].现代中西医结合杂志,2015,24(31):3425-3428.
[12] 高晓峰,周德生,彭勃.脑出血急性期中医临床路径实施效果分析[J].实用中西医结合临床,2013,13(6):22-24.
[13] 杨伟伟.预见性护理在脑出血急性期中的应用效果分析[J].心理医生,2015,21(18):211-213.