| Objective:A retrospective study of 184 cases who are hemorrhagic stroke patients in the past five years in Department of Neurology of Chinese medicine hospital in Hubei Province of the hospital,through analysis of these cases, We can obtain the clinical syndrome characteristics of the acute phase and recovery phase,and the current treatment methods,and the main effect. Then we can make an objective assessment of credibility to guide clinical decision-making through summing up the Chinese dialectical therapy for the treatment.Methods:1 Reference to 1986 Chinese National Institute of Chinese Medicine and the Chinese Ministry of Health in collaboration acute stroke patients cooperation group formulates "Stroke Sickness Diagnosis And Curative effect Evaluation Standard" in Taian.1.1 Main sickness are paralyzed,skew mouth,the tongue stiff or cannot speak,partial body numb,then really state of mind absent minded,hazy, god dusk or muddle-headed.1.2 Falling ill characteristics are being sick rapidly and having the evolution developing process.1.3 Sick history characteristics are fall ill mostly have the suggestion factor,and mostly has dizziness,the headache,the body to be numb before death,strength weak and so on omens.1.4 Falling ill ages mostly above 40 years old.1.5 Inspections on nervous system inspection,cerebrospinal fluid,head CT or MRI,may have exceptionally the performance.2 Refers to cerebral hemorrhage diagnosis standard which in 1996 the Chinese Department of neurology Academic society recommended.2.1 often are excited in the physical strength activity or the mood time is taken bad.2.2 Outbreaks often has vomits repeatedly,the headache and the blood pressure elevates.2.3 condition progresses is rapid,often presents consciousness barrier, the paralysis and other nervous system bureau stove symptom.2.4 Have hypertension medical history.2.5 CT application is the first choice inspection,head CT scanning confirmation cerebral hemorrhage and the spot.2.6 Based on Duotian formula:Calculation of cerebral hemorrhage[amount of bleeding(ml)=π/ 6×length(cm)×width(cm)×high(cm)].3 Meet standards' 184 examples will divide into the acute stage and the recovery period two broad headings,is taken bad the patient who in two weeks are hospitalized to integrate the acute stage class;Is taken bad for two weeks later is hospitalized the patient,integrates the recovery period class;If morbidity in were still in January unconscious,the condition stability not to integrate the acute stage class.Carries on the grouping separately again to these two broad headings,only uses the common doctor practicing western medicine internal medicine department curers to suppose for the doctor practicing western medicine treats the group,based on this adds with the traditional Chinese medicine, acupuncture curer supposes for the cooperation of Chinese and Western medicine treatment group,only uses the traditional Chinese medicine, acupuncture curer to suppose for the Chinese medicine treatment group. Distinction observation each group of patient's ordinary circumstances, cardinal symptoms,symptom and hemorrhage spot,dialectical minute,daily life ability grading and so on many projects;Gets sick the dialectical diagnosis standard take the stroke to carry on the card period of five days study analysis as the basis.Leaves the hospital takes the patient as the observation end point the treatment result carries on the evaluation to the group.Carries on the statistics and the analysis with the SPSS 12 statistical analysis software,the measurement material uses the variance analysis,the T-test,the counting material uses the card side examination,divides the rank counting material and examines with the order, P valueResults:In the acute stage class has not used only the Chinese medicine traditional Chinese medicine method treatment patient;In the recovery period class only uses the western medicine treatment the patient only 2 examples,the sample is too small the non-statistics significance.The acute stage classification treats the group and the cooperation of Chinese and Western medicine treatment group two groups for the doctor practicing western medicine,the recovery period classification for the cooperation of Chinese and Western medicine treatment group and the Chinese medicine treatment group two groups.Acute stage class two group of patient's ordinary circumstances,formerly when medical history,in hospital main clinical manifestation,hemorrhage spot,condition and so on basic balanced;The stroke gets sick six kind of basic card periods of five days to present the frequency in two groups to be similar,by the blood stasis card majority,treats the latter two group of various cards period of five days to present the frequency to examine(p＜0.05),after the card side, has the remarkable statistics significance,the cooperation of Chinese and Western medicine treatment group surpasses the control group obviously; The cooperation of Chinese and Western medicine treatment group and the doctor practicing western medicine treats the group casualty the proportion respectively is:8/51(15.69%),9/50(18%),two groups of mortality rates examine(P＞0.05),after the card side,non-statistics significance.Two group of basic curative effect evaluations,Glasgow prognosis grading,complication and so on after statistics analysis, finally P＞0.05,non-statistics significance.Nerve function damage grading,the daily life energy card side examines(p＜0.05),has the remarkable statistics significance,the cooperation of Chinese and Western medicine treatment group surpasses the control group obviously. Similar inspection procedure,recovery period class two group of patients basic balanced,treats the latter two group of Chinese medicine card period of five days to present the frequency,Glasgow prognosis grading,daily life energy,the nerve function damage and so on after statistics examination(P＞0.05),non-statistics significance;The complication formation rate after statistics examination(p＜0.05),China and the West union treatment group surpasses the Chinese medicine treatment group obviously(P＜0.05).Conclusion:1.At present mainly treats regarding the hemorrhagic stroke sickness acute stage by the cooperation of Chinese and Western medicine treatment and the doctor practicing western medicine primarily,maintains peaceful,the heart electricity guardianship,the oxygen uptake attracts the phlegm, the control cerebrospinal fluid pressure,the blood pressure and the blood sugar,protects the gastric mucosa,the prevention bedsore and the lungs infects,foundation treatments and the traditional Chinese medicine dialectical inducing resuscitation and so on nutrition brain cell straighten out,restore vital energy the blood circulation and so on; Regarding the recovery period mainly take the Chinese medicine treatment and the cooperation of Chinese and Western medicine treatment primarily, mainly as the control blood pressure,the blood sugar,the nutrition brain cell,the improvement circulation,acupuncture and the recovery treatment and the traditional Chinese medicine dialectical benefit healthy tendency, the blood circulation passes winds extinguishes endogenous wind and so on.2.Hemorrhagic stroke sickness acute stage and recovery period clinical card period of five days characteristic respectively be acute stage by lacking in vital energy blood stasis primarily;Recovery period mainly for empty,has the lacking in vital energy Yin deficient.3.Hemorrhagic stroke in the acute phase and recovery phase of the effect of:Based on the above understanding,in our hospital with acute Air, promoting blood circulation and removing blood stasis as the basic governance law.Conventional Western medicine in treating drug on the basis of dialectical given Chinese medicine treatment,the results of the Syndrome,neurological defects,the ability to score on the daily life of Chinese and Western medicine group is better than group(P＜0.05); upright in the recovery period to put out replenishing Wind activating meridians as the basic governance law,the complication rate was significantly better than combining Chinese and Western medicine group (P＜0.05). 4.Acute cerebral hemorrhage,hematoma for the specific conditions adopted by the intracranial hematoma and drainage can save lives,but did not achieve significant reduction in mortality,the purpose of reducing their disability,medicine and treatment in the dialectic of haemorrhagic The treatment of acute stroke in a very good effect,to promote the absorption hematoma,and promote neurological recovery,improve the daily lives of patients with the ability to enhance the quality of life and reduce complications.Hemorrhagic stroke in the treatment of the recovery have made very good effect,to make qi and blood,and activating meridians with acupuncture and rehabilitation training as soon as possible to promote functional recovery of patients and reduce disability. |
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