中药化瘀涤痰方联合依达拉奉治疗高血压脑出血的有效性探讨

李恒

【摘 要】目的：探究中药化瘀涤痰方联合依达拉奉治疗高血压脑出血的效果。方法：将2018年1月至2021年8月入选的70例患者作为此次研究对象，并根据随机法分为对照组和观察组，各35例。对照组患者采用依达拉奉治疗，观察组患者采用中药化瘀涤痰方联合依达拉奉治疗，比较两组患者治疗效果、以及治疗前后的脑部血肿体积和水肿体积的变化。结果：观察组治疗效果（97.14%）显著高于对照组（82.86%）（P<0.05） ，两组比较具有统计学意义。治疗后，观察组患者脑部血肿体积（7.26±2.04 ml）和水肿体积（5.26±1.02 ml）明显小于对照组（9.63±3.04 ml、7.36±1.85 ml），两组差异有统计学意义（P<0.05） 。结论：针对高血压脑出血患者采用中药化瘀涤痰方联合依达拉奉治疗可以有效清除肿块，且治疗效果较为明显，值得推广应用。

【关键词】中药化瘀涤痰方；依达拉奉；高血压脑出血

The effectiveness of traditional chinese medicine huayu ditan decoction combined with edaravone in treating hypertensive cerebral hemorrhage

Li Heng

Zaosheng Central Health Center of Ning county， Qingyang， Gansu， 745205， China

【Abstract】Objective： To explore the effect of traditional chinese medicine huayu ditan decoction combined with edaravone in the treatment of hypertensive cerebral hemorrhage. Methods： 70 patients selected from January 2018 to August 2021 were selected as the subjects of this study， and were divided into a control group and an observation group according to the random method， with 35 cases in each group. The control group was treated with edaravone， and the observation group was treated with traditional chinese medicine huayu ditan decoction combined with edaravone. The treatment effect and the changes of brain hematoma volume and edema volume were compared between the two groups. Results： The treatment effect of the observation group （97.14%） was significantly higher than that of the control group （82.86%）（P<0.05） ， the comparison between the two groups was statistically significant. After treatment， the brain hematoma volume （7.26±2.04 ml） and edema volume （5.26±1.02 ml） of the observation group were significantly smaller than those of the control group （9.63±3.04 ml， 7.36±1.85 ml）， and the difference between the two groups was statistically significant（P<0.05） . Conclusion： For patients with hypertensive intracerebral hemorrhage， the traditional chinese medicine huayu ditan decoction combined with edaravone can effectively remove the tumor， and the therapeutic effect is relatively obvious， which is worthy of popularization and application.

【Key？Words】Traditional chinese medicine huayu ditan decoction， edaravone， hypertensive cerebral hemorrhage

高血壓脑出血是一种发病率较高的急性脑血管病，而且大多数患者是由于长期处于高血压却没有得到有效治疗所引发的并发症。该病对患者的生活质量有很大的影响，尤其是影响患者生活能力，而且如果没有得到有效的治疗，还具有较高的致死率和致残率[1]。目前临床中对于该病症的治疗仍然没有特效药物，且有相关研究显示，对于高血压脑出血采用手术治疗，并不能改善预后效果[2]。本研究对70例患者采用中药化瘀涤痰方联合依达拉奉进行分析，现报道如下。

1.1 一般资料

将2018年1月至2021年8月入选的70例患者作为此次研究对象，并根据随机法分为对照组和观察组，各35例。……