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目的:观察通络定痫汤联合苯巴比妥治疗癫痫持续状态(SE)的临床疗效及其脑保护作用。方法:将符合纳入标准的60例SE患者,按照随机的原则分为治疗组和对照组各30例,对照组接受苯巴比妥治疗,治疗组在对照组的基础上,予以口服通络定痫汤。结果:治疗2个疗程后,治疗组临床总有效率为96.7%,优于对照组的73.3%(P<0.05);治疗组72 h内控制发作及意识恢复的例数多于对照组,意识恢复时间和癫痫控制时间短于对照组,差异均有统计学意义(P<0.05);治疗过程中治疗组未出现明显副作用。结论:通络定痫汤联合苯巴比妥治疗癫痫持续状态有较好疗效,有一定的脑保护作用。
Objective: To observe the clinical efficacy of Tongluo Dingxiexiao Decoction combined with phenobarbital in the treatment of status epilepticus (SE) and its protective effect on brain. Methods: According to the principle of randomization, 60 patients with SE who met the inclusion criteria were divided into treatment group (30 cases) and control group (30 cases). The control group received phenobarbital treatment. On the basis of the control group, the treatment group Epilepsy soup. Results: After 2 courses of treatment, the total clinical effective rate in the treatment group was 96.7%, which was better than 73.3% in the control group (P <0.05). The number of control seizures and consciousness recovery within 72 hours of the treatment group was more than that of the control group Recovery time and epilepsy control time shorter than the control group, the difference was statistically significant (P <0.05); the treatment group did not show significant side effects. Conclusion: Tongluo decoction combined with phenobarbital in the treatment of status epilepticus has a good effect, a certain degree of brain protection.