芨榆汤辅助治疗高血压脑出血术后并发上消化道出血56例疗效观察

目的 :观察芨榆汤佐治高血压脑出血术后并发上消化道出血的疗效 ,以发挥中西医结合治疗的优势。方法 :111例高血压脑出血术后并发上消化道出血患者随机分为 2组 :治疗组 5 6例 ,在西医常规治疗的基础上加用芨榆汤治疗(芨榆汤由白芨、地榆等中药组成 ) ;对照组 5 5例 ,仅采用单纯西医常规治疗。结果 :治疗组的疗效明显优于对照组 (Hc =5 .335 ,P <0 .0 5 )。对轻、中度出血者 ,治疗组的止血时间较对照组明显缩短 (P <0 .0 5 ) ,但对重度出血者 ,两组的止血时间差异无显著性 (P >0 .0 5 )。结论 :芨榆汤是辅助治疗高血压脑出血术后并发上消化道出血的有效方法 ,尤适用于轻、中度出血患者。

Jiyu decoction as adjuvant treatment in upper digestive tract hemorrhage after surgery for cerebral hemorrhage due to hypertention:analysis of 56 cases

Objective:To observe the efficacy of Jiyu decoction as adjuvant treatment in patients with upper digestive tract hemorrhage(UDTH) after surgery for cerebral hemorrhage due to hypertention.Methods:A total of 111 patients with UDTH after surgery for cerebral hemorrhage due to hypertention were randomly divided into two groups:treatment group ( n =56) received conventional treatment plus Jiyu decoction whose major ingredients were bletilla tuber and hurnet root,while control group ( n =55) only accepted conventional treatment.Results:The efficacy in treatment group was superior to that in control group ( Hc=5.335,P <0.05).Hemostatic time for mild and moderate bleeding was significantly shorter in treatment group than that in control group ( P <0.05),but there was no obvious difference in hemostatic time for severe bleeding between two groups ( P >0.05).Conclusion:As an adjuvant,Jiyu decoction is helpful in managing mild and moderate degree of UDTH after surgery for cerebral hemorrhage due to hypertention.