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补阳还五汤联合微创手术治疗外侧型小脑出血

卓杰 王占国 闫华

天津中医药Issue(6):329-332,4.
天津中医药Issue(6):329-332,4.DOI:10.11656/j.issn.1672-1519.2015.06.03

补阳还五汤联合微创手术治疗外侧型小脑出血

Oral administration of Buyang Huanwu decoction combined with microinvasive operation on lateral cerebellar hemorrhage

卓杰 1王占国 2闫华3

作者信息

  • 1. 天津市环湖医院神经外科,天津 300060
  • 2. 天津中医药大学第一附属医院针灸科,天津 300193
  • 3. 天津市环湖医院,天津市脑血管与神经变性重点实验室,天津 300060
  • 折叠

摘要

Abstract

Objective] To study the therapeutic effect of oral administration of Buyang Huanwu decoction combined with microinvasive operation on lateral cerebellar hemorrhage. [Methods] In this study, 66 patients with lateral cerebellar hemotoma (volume≥10 mL) were taken external ventricular drainage immediately after admission and then taken continuous monitoring of intracranial pressure (ICP). Trepanation and drainage of hematoma was done under local anesthesia with 7~24 hrs after the onset. All patients were divided into 2 groups randomly:the Chinese medicine treatment group(given Buyang Huanwu decoction 24 hrs after the operation) and the con-trol group. During six-months follow-up, we compared the therapeutic effect between two groups. [Results] The ICP of the Chinese medicine treatment group was obviously lower than that of the control at one week after therapy, and the difference was much more obvi-ous when the hemotoma volume was over 15 mL. At the end of the six-months follow-up, the Chinese medicine treatment group gained a better performance than the control, with a total efficiency of 81.0%(17/21) vs.71.4%(15/21). [Conclusion] Oral administration of Buyang Huanwu decoction combined with microinvasive operation is safe and effective on the treatment of lateral cerebellar hemorrhage.

关键词

补阳还五汤/活血化瘀/微创手术/外侧型小脑出血

Key words

Buyang Huanwu decoction/invigorating blood circulation and eliminating stasis/microinvasive operation/lateral cerebellar hemorrhage

分类

医药卫生

引用本文复制引用

卓杰,王占国,闫华..补阳还五汤联合微创手术治疗外侧型小脑出血[J].天津中医药,2015,(6):329-332,4.

基金项目

天津市科技支撑计划项目(13ZCZDSY01600)。 ()

天津中医药

OACSTPCD

1672-1519

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