中西医结合疗法干预脑弥漫性轴索损伤预后30例临床观察

王少锦; 齐岚平

doi:10.13288/j.11-2166/r.2004.12.020

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中西医结合疗法干预脑弥漫性轴索损伤预后30例临床观察

更新时间：2021-11-20

- 中西医结合疗法干预脑弥漫性轴索损伤预后30例临床观察
- Clinical Observation on Prognosis of 30 Cases of Diffuse Axonal Injury Intervened by Combination of Chinese and Western Medicine
- 中医杂志 2004年第12期页码：921-922
- 作者机构：
  
  1. 河北医科大学中医学院
  2. 河北医科大学第二医院石家庄市新石南路326号,050091
  3. 河北医科大学中医学院河北医科大学第二医院石家庄市新石南路326号,050091
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2004.12.020
  中图分类号： R651.15
- 纸质出版：2004
- 稿件说明：
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[1]王少锦,齐岚平.中西医结合疗法干预脑弥漫性轴索损伤预后30例临床观察[J].中医杂志,2004(12):921-922.

Wang Shaojin~1, Qi Lanping~2. Clinical Observation on Prognosis of 30 Cases of Diffuse Axonal Injury Intervened by Combination of Chinese and Western Medicine[J]. Journal of Traditional Chinese Medicine2004, (12): 921-922.
[1]王少锦,齐岚平.中西医结合疗法干预脑弥漫性轴索损伤预后30例临床观察[J].中医杂志,2004(12):921-922. DOI： 10.13288/j.11-2166/r.2004.12.020.

Wang Shaojin~1, Qi Lanping~2. Clinical Observation on Prognosis of 30 Cases of Diffuse Axonal Injury Intervened by Combination of Chinese and Western Medicine[J]. Journal of Traditional Chinese Medicine2004, (12): 921-922. DOI： 10.13288/j.11-2166/r.2004.12.020.

摘要

目的:观察安宫牛黄丸对脑弥漫性轴索损伤（DAI）预后的影响

探讨其应用于DAI患者后在催醒、降温等方面的作用。方法:将在西医常规治疗基础上加用安宫牛黄丸的DAI患者30例作为治疗组

与只进行西医常规治疗的DAI患者30例作对照

通过比较格拉斯哥昏迷量表（GCS）评分、格拉斯哥预后量表（GOS）评分和病死率

判断分析安宫牛黄丸对DAI预后的效果。结果:治疗组总有效率（80%）明显优于对照组（56.7%

P<0.05）

症状、体征较对照组有明显改善

GCS评分较对照组明显升高（P<0.01）

病死率下降

治疗组病死率为0

对照组为10%。结论:安宫牛黄丸在DAI治疗中具有明显的脑保护作用

疗效安全可靠

毒副作用小

使DAI预后趋于良性

具有一定的应用前景。

Abstract

Objective: To observe the effect of Angong Niuhuang Bolus on prognosis of diffuse axonal injury （DAI）

and to explore awaking and body-temperature-reducing actions of Angong Niuhuang Bolus in the patient of DAI. Methods: 30 cases of DAI were treated by routine western medicine therapy plus Angong Niuhuang Bolus as treatment group

and other 30 of DAI were treated by only routine western medicine therapy as control group. Their prognosis was estimated and analyzed by Glasgow Coma Scale（GCS）and Glasgow Outcome Scale（GOS）and mortality. Results:The total effective rate of 80% in the treatment group was significantly better than 56. 7% in the control group（P<0. 05）

and the symptoms and signs improved and GCS score increased significantly （P<0. 01）

and the mortality decreased in the treatment group as compared with the control group. Conclusion: Angong Niuhuang Bolus has obvious protecting action on the brain in the patient of DAI

with safe and credible therapeutic effect and less side effect.

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