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1、五苓散加味联合高压氧治疗颅脑损伤脑水肿的临床观察1山东省青州市人民医院山东青州2625002山东省潍坊市益都中心医院山东潍坊262500【摘要】目的：分析和研究五苓散加味联合高压氧治疗颅脑损伤脑水肿的临床效果。方法：收集和纳入2014年8月一2015年5月颅脑损伤脑水肿患者80例，将其按就诊编号顺序分为研究组(42例)与实验组(38例)。所有患者给予常规治疗，实验组患者予以五苓散加味治疗；研究组患者予以五苓散加味联合高压氧治疗，对比两组患者在治疗前后患者GCS评分、脑水肿体积、血气检测结果，并在治疗后随访2个
2、月，对患者认知功能进行评估。结果：经治疗后，研究组患者GCS评分明显优于实验组，跟实验组相比差异显著，P<0.05o经治疗后，两组患者脑水肿体积、血气检测结果、认知功能均有所改善，跟治疗前对比差异显著，PV0.05；但研究组改善幅度更为显著，跟实验组治疗后相比差异显著，P<0.05o结论：五苓散加味联合高压氧治疗颅脑损伤脑水肿的临床效果显著，能确切改善患者临床症状，缩小脑水肿体积，改善血气分析水平，提升患者认知功能，值得推广。【关键词】五苓散加味；高压氧；颅脑损伤脑水肿；临床效果【中图分类号】R473.5【文
3、献标识码】A【文章编号】1001-5213(2016)09-0110-02[Abstract]Objective:toanalyzeandstudytheclinicaleffectofmodifiedPoriafivepowdercombinedwithhyperbaricoxygeninthetreatmentoftraumaticbraininjuryandbrainedema・Methods:80patientswithbrainedemawerecollectedandineludedinAugus
4、t2014toMay2015・Thepatientsweredividedintothestudygroup(42cases)andthereferencegroup(38cases)・Allpatientsgivenconventionaltreatment,therefereneegroupwastreatedwithWulingpowdermodifiedtreatment;studygrouppatientsweretreatedwithWulingpowdermodifiedcombinedwith
5、hyperbaricoxygeninthetreatment,comparedtwogroupsofpatientsbeforeandaftertreatmentpatientsgosscore,brainedemavolume,bloodgastestingresults,andthetreatmentafterfollowedupfor2months,thecognitivefunctionofpatientswithareevaluated.Results:aftertreatment,theGCSsc
6、oreofthestudygroupwassignificantlybetterthanthereferencegroup,comparedwiththerefereneegroup,thediffereneewassignificant,P<0.05.Aftertreatment,twogroupsofpatientswithcerebraledemavolume,bloodgastestresults,cognitivefunctionhaveimproved,comparedwiththetrea
7、tmentbeforetreatment,thediffereneewassignificantly,P<0.05;butthestudygroupwasmoresignificantzcomparedwiththerefereneegroupaftertreatment,thediffereneewassignificant,P<0.05.Conclusion:Wulingpowdermodifiedcombinedwithhyperbaricoxygeninthetreatmentoftrau
8、maticbraininjuryandbrainedemaclinicaleffectisremarkable,candefinitelyimprovetheclinicalsymptomsofthepatients,reducethevolumeofthebrainedema,improvethebloodlevelofanalysis,improvepatientscognitivefuncti
