中西醫(yī)結(jié)合對(duì)tSAH致CVS的臨床觀察.pdf

1、提要目的：目的：探討“補(bǔ)腎活血法”對(duì)外傷后蛛網(wǎng)膜下腔出血致腦血管痙攣的臨床療效。方法：方法：將60例符合標(biāo)準(zhǔn)的患者隨機(jī)分成2組：對(duì)照組29例，給予現(xiàn)代醫(yī)學(xué)常規(guī)治療（尼莫地平等），治療組31例，在現(xiàn)代醫(yī)學(xué)常規(guī)治療的基礎(chǔ)上，加用“補(bǔ)腎活血法”，觀察兩組患者患側(cè)的大腦中動(dòng)脈流速、改良Fisher分級(jí)及臨床表現(xiàn)的變化。結(jié)果結(jié)果：1、治療組的大腦中動(dòng)脈平均流速及改良Fisher分級(jí)指數(shù)明顯低于對(duì)照組，P＜0.05。2、治療組近期療效明顯優(yōu)于對(duì)照組

2、，P＜0.05。結(jié)論結(jié)論：1、治療組與對(duì)照組均能有效降低大腦總動(dòng)脈流速、改良Fisher分級(jí)指數(shù)，減輕患者臨床癥狀和體征。2、對(duì)照組與治療組之間有顯著性差異，治療組療效優(yōu)于對(duì)照組療效。關(guān)鍵詞補(bǔ)腎活血法；腦血管痙攣（CVS)；外傷后蛛網(wǎng)膜下腔出血（tSAH)經(jīng)顱多普勒（TCD)；改良Fisher分級(jí)目錄引言...................................................................

3、............................................................1臨床研究...............................................................................................................................21一般資料......................

4、.....................................................................................................21.1研究對(duì)象...............................................................................................................

5、.........21.2病例分組........................................................................................................................21.3納入標(biāo)準(zhǔn)...........................................................................

6、.............................................21.4排除標(biāo)準(zhǔn)........................................................................................................................21.5觀察項(xiàng)目.......................................

7、.................................................................................22研究方法.........................................................................................................................32.1對(duì)照組治療方法.

8、............................................................................................................32.2治療組治療方法.....................................................................................................

9、.......32.3統(tǒng)計(jì)學(xué)處理....................................................................................................................33結(jié)果....................................................................................

10、...............................................33.1兩組患者治療前的比較................................................................................................33.2兩組患者治療后臨床資料的比較.............................................

11、....................................5討論...............................................................................................................................71現(xiàn)代醫(yī)學(xué)對(duì)外傷后蛛網(wǎng)膜下腔出血的探討..................................

12、.................................72外傷后蛛網(wǎng)膜下腔出血的中醫(yī)認(rèn)識(shí)...............................................................................92.1中醫(yī)學(xué)對(duì)腦之解剖的認(rèn)識(shí)............................................................................

13、.................92.2病名歸屬......................................................................................................................103補(bǔ)腎活血法立法依據(jù).................................................................

14、....................................114中藥湯劑分析.................................................................................................................125急性期活血化瘀法的應(yīng)用................................................

15、.............................................136本研究尚未解決問題與展望.........................................................................................14結(jié)論...................................................................

16、..........................................................15參考文獻(xiàn).............................................................................................................................16綜述...........................