Effects of Xuebijing Combined with Controlled Stepwise Decompression on Severe Craniocerebral Injury and Its Influence on Cerebral Hemodynamics
Objective:To explore the effect of Xuebijing combined with controlled stepwise decompression in patients with severe craniocerebral injury and its influence on cerebral hemodynamics.Method:A total of 68 patients with severe craniocerebral injury who were admitted in Xintai People's Hospital from July 2019 to October 2022 were selected,and divided into the study group(n=34)and the control group(n=34)by random number table method.The control group was treated with controlled stepwise decompression,and the study group was treated with Xuebijing combined with controlled stepwise decompression.The clinical efficacy,cerebral hemodynamics,neurological function,prognosis and incidence of complications of the two groups were compared.Result:The total effective rate of treatment in the study group(97.06%)was higher than that in the control group(76.47%)(P<0.05).7 days after surgery,cerebral blood volume(CBV)and cerebral blood flow(CBF)in both groups were increased compared to those preoperative(P<0.05),time to peak(TTP)and mean transite time(MTT)were shortened(P<0.05);in comparision of the control group,CBV and CBF in the study group were higher(P<0.05),TTP and MTT were shorter(P<0.05).7 days after surgery,Glasgow outcome scale(GOS)scores in both groups were increased compared to those preoperative(P<0.05),and China stroke scale(CSS)scores were decreased(P<0.05);in comparision of the control group,the GOS score in the study group was higher(P<0.05),and the CSS score was lower(P<0.05).The incidence of complications in the study group(5.88%)was lower than that in the control group(26.47%)(P<0.05).Conclusion:Xuebijing combined with controlled stepwise decompression in the treatment of severe craniocerebral injury,can promote clinical efficacy,enhance cerebral hemodynamics,improve patient neurological function and prognosis,and reduce the risk of complications.
Severe craniocerebral injuryXuebijingControlled stepwise decompressionCerebral hemodynamics
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维普
