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| Clinical study on the treatment of chronic subdural hematoma by expelling stasis and water |
| Hits 709 Download times 235 Received:January 17, 2025 |
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| DOI
10.11656/j.issn.1672-1519.2025.06.06 |
| Key Words
chronic subdural hematoma;Tongqiao Huoxue Decoction;Erchen Decoction;trepanation and drainage |
| Author Name | Affiliation | E-mail | | LI Hongya | Department of Neurology, Qingdao Traditional Chinese Medicine Hospital, Qingdao Hiser Hospital Affiliated of Qingdao University, Qingdao 266000, China | | | ZHOU Yangyang | Pharmacy Department, Qingdao Traditional Chinese Medicine Hospital, Qingdao Hiser Hospital Affiliated of Qingdao University, Qingdao 266000, China | | | KUANG Yi | Department of Neurology, Qingdao Traditional Chinese Medicine Hospital, Qingdao Hiser Hospital Affiliated of Qingdao University, Qingdao 266000, China | | | YAN Wei | Department of Neurosurgery, Qingdao Traditional Chinese Medicine Hospital, Qingdao Hiser Hospital Affiliated of Qingdao University, Qingdao 266000, China | yannsdept@163.com |
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| Abstract
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| [Objective] To analyze the effect of Tongqiao Huoxue Decoction and Erchen Decoction on clinical symptoms and quality of life of patients with chronic subdural hematoma（CSDH） after trepanation and drainage. [Methods] Sixty patients with CSDH syndrome of blood stasis and water dampness treated in our hospital from January 2022 to December 2023 were selected for prospective study and were divided into 2 groups with 30 cases in each group by random number table method. The two groups were treated with trepanation and drainage，the control group was treated with nutritional nerve，microcirculation improvement，and symptomatic treatment，and the Chinese medicine group was treated with Tongqiao Huoxue Decoction and Erchen Decoction based on the control group. Both groups were treated for 8 weeks，and the changes in hematoma clearance rate，and activity of daily living score，traditional Chinese medicine symptom score，and other indicators were evaluated. [Results] After treatment，the clearance rate of hematoma in the Chinese medicine group was higher than that in the control group（P<0.05）. Activity of daily living scores in the 2 groups were improved compared with those before treatment（P<0.05），and the Chinese medicine group was better than the control group（P<0.05）. The scores of dizziness，heaviness，body heaviness，mouth stickiness，unformed stool，tongue coating，and pulse in the Chinese medicine group were lower than those in the control group（P<0.05）. There was no statistical significance in the scores of headache，nausea，and vomiting between the two groups（P>0.05）. [Conclusion] Tongqiao Huoxue Decoction and Erchen Decoction can improve the clearance rate of hematoma after trepanation and drainage in patients with blood stasis and water dampness，improve the patients’ ability of daily living activities，and improve the clinical symptoms of traditional Chinese medicine，which is worthy of promotion and application. |
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