Flavored Bulk Atomization Inhalation Of Stroke Coma Patient Wake-up The Role Of Clinical Observation

Study BackgroudGoma of Apoplexy refers to the critical disase charactered of dottiness in theprogress of Apoplexy.The clinical manifestation is stupor,confusion,trance,comaand so on in various degree consciousness barrier,so that the consciousness islost;simultaneously is accompanied by hemiplegia,deviation of the eyes andmouth,dysphasia and so on the symptoms.Coma of Apopley is a clinical criticaldisease,a large amount of studies indicate,regardless of in the hemorrhagic Apoplexyor in the anemic Apoplexy,the longer the time of coma,the higher the mortality anddeformity rates are and the worse the prognosis is,so it is the key to cure apoplexysuccessfully to rescue coma.Doctors of Traditional Chinese Medicine think Coma ofApoplexy is caused by pathogens which block Qing qiao and the HeartOrifice.Doctors of modern medicine think bleedings take the location,and thevicinity tissue which is pressed is oxygen deficiency,or a large number of nerve cellsfall into denaturation because of lacks for blood,the cells get dropsical,the craniumpressure increases highly for fundamental pathological mechanism change.Thereforeon the clinical doctors of modern medicine maintain that the anemic Apoplexyadopts dissolving-bolt therapy early.At present the dissolving-bolt therapy alreadymakes significant progress,but the limit of dissolving-bolt time makes most of theanemic Apoplexy patients lose the dissolving-bolt opportunity.The maincomplication which dissolves the bolt is intracranial hemorhage,the mortality is up to20%.Patients of the hemorrhagic Apoplexy adopt operations of opening cranium andthe therapy of mini-wound puncture to set the tube drainage eliminatinghaematoma.The curative effect is not ideal.Other treatments conclude reducingcranium preseure,nourishing brain cells and dealing with symptoms.Doctors ofTraditional Chinese Medicine adopt resuscitation and relaxiation of thebowels.Traditional Chinese Medicine is original in the treatment of Apoplexy,atpresent Traditional Chinese Medicine has achieved some effects in Apoplexy treatment of recovery period and sequelatime.On the constrast,the treatment ofabrupt period of Apoplexy is comparatively unsatisfactory.In recent years along withscience and technology development,although people have developed many Chinesemedicine preparations(Qing kai ling injection,Xing nao jing injection,forinstance),butit was still unable to satisfy the ned of rescuing the critical Apoplexy.ObjectiveObserve the revial effect of Added Tong guan power by auto-maion for coma ofApoplxy and the influence of coma of Apoplexy mortality.Evaluate the clinical effectand the medication security of Added Tong guan power.Study MethodSixty patients of apoplexy and coma come from the ward of emergency and ICUduring Sep 2002 and Apr 2007．Patients who accord with standards will be taken atrandom,looking forward the prospect, placebo contrast research approach,divided intothe treatment group and contrast group,two groups are 30 patients respectively.Thetreatment group adds Added Tong guan power which is inhaled by auomazaing on theconventional treatment foundation.The ratio between Added Tong guan power anddistilled water is 8:1．Thirty minutes every time,two times a day,seven days in all.Thecontrast group adds Added distilled water which is inhaled by auomazaing on theconventional treatment foundation. Thirty minutes every time,two times a day,sevendays in all.If patients come to life or collapse,stop the trial.Two teams both haveblood,urine,stool tests;OB of stool,DIC,ECG,AST,ALT,BUN,Cr and so on.Record thesyndromes of patients(according to Glasgow-Pittsburgh coma scale).Observe theconsciousness state of patients,the critical degree states of illness,and the improvementof the relative clinical target.Compute the mortalities of seven days and twenty-onedays.ResultThe Glasgow-Pittsburgh's scores of contrast group of Added Tong guan powerafter treatment is obviously improved than before.But The Glasgow-Pittsburgh'sscore of contrast group after treatment is lower than before.The consciousnessbarrier restoration ratio of Added Tong guan power is higher than the ratio of the contrast group, so it indicates that Added Tong guan power can improve theconsciousness state of Coma of Apoplxy and promote the patients to revive.TheAPACHE II 's scores of contrast group of Added Tong guan power after treatment islower than before.The APACHEⅡ's score deals with the degree of illness. Itindicates that Added Tong guan power can stop patient's condition from worsing.ConclusionAdded Tong guan power plays a part in improve the consciousness state of comaof Apoplxy from this clinical observation.It has a very development in the future.Butthe cases of this research are limited, Added Tong guan power will be used in a biggerrearch which can be carried out in several hospiticals. The research should bedeveloped and extended.Therapy of atomization is developed from the foundtion oftherapy of giving the medicine from nose. Traditional Chinese Medicine has manytheories to explain why Apoplxy can be cure by atomization of medicine.Moreover,giving the medicine from nose can avoid the stimulations to the gastrointestinal tractfrom medicines and the medicine's elimination by gastrointestinal tract and liver.Therapy of atomization is worth studying in a further way.