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目的研究五苓散对颅脑外伤后脑积水预防与控制的治疗方法 ,为临床治疗提供参考。方法 100例颅脑外伤后脑积水患者为研究对象,随机分为观察组和对照组,各50例。两组患者均接受侧脑室腹腔分流术,观察组患者加用五苓散,对比两组患者的治疗效果。结果观察组患者无效5例、有效21例、显效24例,总有效率为90.0%;对照组患者无效13例、有效17例、显效20例,总有效率为74.0%;观察组总有效率高于对照组,差异具有统计学意义(χ~2=4.336,P<0.05)。观察组患者发生分流管堵管0例、硬膜下积液1例、感染1例,并发症发生率为4.0%;对照组患者发生分流管堵管2例、硬膜下积液3例、感染3例,并发症发生率为16.0%;观察组并发症发生率低于对照组,差异具有统计学意义(χ~2=4.000,P<0.05)。结论五苓散对颅脑外伤后脑积水患者有着良好的治疗效果,并发症的发生率大大下降,值得临床应用。
Objective To study the Wuling San on hydrocephalus after traumatic brain injury prevention and control of treatment for clinical treatment to provide a reference. Methods One hundred cases of hydrocephalus after craniocerebral injury were divided into observation group and control group randomly, 50 cases each. Two groups of patients received lateral ventricle shunt, the observation group plus Wulingsan, compared the treatment effect of two groups of patients. Results In the observation group, 5 cases were ineffective, 21 cases were effective, 24 cases were markedly effective, and the total effective rate was 90.0%. In the control group, 13 cases were ineffective, 17 cases were effective and 20 cases were markedly effective. The total effective rate was 74.0% Higher than the control group, the difference was statistically significant (χ ~ 2 = 4.336, P <0.05). In the observation group, there were 0 cases of shunt tube occlusion, 1 case of subdural effusion and 1 case of infection, the complication rate was 4.0%. In the control group, there were 2 cases of shunt tube occlusion, 3 cases of subdural effusion, The infection rate in 3 cases was 16.0%. The complication rate in observation group was lower than that in control group (χ ~ 2 = 4.000, P <0.05). Conclusion Wuling Powder has a good therapeutic effect on patients with hydrocephalus after traumatic brain injury, and the incidence of complications is greatly reduced, which is worthy of clinical application.