论文部分内容阅读
目的观察复方三黄排毒汤保留灌肠治疗急性脑出血并肾功能衰竭的临床疗效。方法将62例急性脑出血并肾功能衰竭患者随机分为治疗组和对照组,每组31例。对照组给予常规治疗,治疗组在常规治疗基础上加用复方三黄排毒汤保留灌肠。观察两组患者治疗前后神经功能、肾功能恢复情况以及血肌酐和尿素氮水平的变化。结果治疗组神经功能及肾功能疗效的总有效率分别为90.3%、87.1%,均明显高于对照组(分别为67.7%、64.5%),差异均有统计学意义(P<0.05);两组的血肌酐和尿素氮水平均明显降低(P<0.01),且以治疗组下降得更为显著(P<0.05)。结论早期采用复方三黄排毒汤保留灌肠急性脑出血并肾功能衰能有效地促进脑血肿的吸收,改善患者神经功能和肾功能,提高远期疗效和健康质量。
Objective To observe the curative effect of compound Sanhuang detox decoction retention enema on acute cerebral hemorrhage and renal failure. Methods Sixty-two patients with acute cerebral hemorrhage and renal failure were randomly divided into treatment group and control group, with 31 cases in each group. The control group given conventional treatment, the treatment group on the basis of conventional treatment plus Compound Sanhuang detox soup retention enema. Before and after treatment, the neurological function, the recovery of renal function and the changes of serum creatinine and blood urea nitrogen were observed. Results The total effective rates of the neurological function and the renal function in the treatment group were 90.3% and 87.1%, respectively, which were significantly higher than those in the control group (67.7% and 64.5%, respectively) (P <0.05) Serum creatinine and urea nitrogen levels were significantly lower (P <0.01), and in the treatment group decreased more significantly (P <0.05). Conclusion Early use of Compound Sanhuang Detox Soup preserving acute intracerebral hemorrhage and renal failure can effectively promote the absorption of cerebral hematoma, improve neurological and renal function, and improve long-term curative effect and health quality.