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通窍活血汤对颅脑外伤手术患者的治疗效果研究

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目的 探究通窍活血汤对颅脑外伤手术患者的治疗效果.方法 选取2022年1月—2023年1月于徐州市贾汪区人民医院进行手术治疗的78例颅脑外伤患者,根据随机数表法分成针刺组与中药组,每组39例.所有患者均接受手术治疗与术后康复训练(包括常规肢体功能与认知功能训练),在此基础上,针刺组接受针刺治疗,中药组接受通窍活血汤治疗.比较两组治疗总有效率、神经功能、运动功能、日常生活能力改善情况.结果 中药组的治疗总有效率(92.31%)明显高于针刺组(71.79%),差异有统计学意义(x2=5.571,P<0.05).经治疗,中药组神经功能评分低于针刺组,肢体运动功能及日常生活能力评分均高于针刺组,差异有统计学意义(P均<0.05).结论 颅脑外伤手术患者术后采用通窍活血汤治疗,疗效显著,可改善其神经功能、运动功能,加强其日常生活自理能力.
Therapeutic Effect of Tongqiaohuoxue Decoction on Patients with Cranio-cerebral Trauma Surgery
Objective To explore the therapeutic effect of Tongqiaohuoxue Decoction on patients with craniocerebral trauma surgery.Methods A total of 78 patients with craniocerebral trauma who underwent surgical treatment in Ji-awang District People's Hospital of Xuzhou City from January 2022 to January 2023 were selected and divided into acupuncture group and TCM group according to random number table method,with 39 cases in each group.All pa-tients received surgical treatment and postoperative rehabilitation training(including routine limb function and cogni-tive function training).On this basis,acupuncture group received acupuncture treatment,and TCM group received Tongqiaohuoxue Decoction.The total effective rate and the improvement of nerve function,motor function and daily living ability were compared between the two groups.Results The total effective rate of TCM group(92.31%)was sig-nificantly higher than that of acupuncture group(71.79%),and the difference was statistically significant(x2=5.571,P<0.05).After treatment,the scores of nerve function in TCM group were lower than those in acupuncture group,and the scores of limb motor function and daily living ability were higher than those in acupuncture group,and the differ-ences were statistically significant(all P<0.05).Conclusion Patients with craniocerebral trauma surgery were treated with Tongqiaohuoxue Decoction after operation,which has remarkable curative effect,can improve their nerve func-tion,motor function,and strengthen their self-care ability in daily life.

Craniocerebral trauma surgeryTongqiaohuoxue DecoctionAcupuncture therapyNerve functionMotor functionSelf-care ability in daily life

李心明

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徐州市贾汪区人民医院神经外科,江苏徐州 221011

颅脑外伤手术 通窍活血汤 针刺疗法 神经功能 运动功能 日常生活自理能力

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(2)
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