顾海波　姜雷　王少阳

[摘要] 目的 观察解郁通窍汤加味辨证在脑外伤后综合征中的应用效果。 方法 收集2013年5月～2014年5月日照市东港区人民医院神经外科收治的脑外伤后综合征患者156例，将其随机分为A、B两组，A组采取解郁通窍汤加味辨证治疗，B组采取西医常规综合治疗。两组患者均连续治疗6周，以两组治疗效果、症状评分和安全性作为评价指标。 结果 A组治疗有效率为84.62%，B组治疗有效率为67.95%，差异有统计学意义（P < 0.05）；A组治疗后不同证型患者视觉模拟评分均明显低于B组，差异均有统计学意义（P < 0.05）；两组患者并发症发生率比较差异无统计学意义（P > 0.05）。 结论 解郁通窍汤能有效改善脑外伤综合征患者的症状，具有较好的疗效。

[关键词] 解郁通窍汤；脑外伤综合征；辨证论治

[中图分类号] R651.1；R269 [文献标识码] A [文章编号] 1673-7210（2016）12（c）-0191-03

[Abstract] Objective To observe the application efficacy of Modified Jieyu Tongqiao Decoction in the treatment of post-traumatic syndrome based on syndrome differentiation. Methods One hundred and fifty-six patients with post-traumatic syndrome admitted to Department of Neurosurgery of Donggang People's Hospital of Rizhao City from May 2013 to May 2014 were collected， and they were randomly divided into group A and group B. Group A was given Modified Jieyu Tongqiao Decoction based on syndrome differentiation， and group B was given conventional comprehensive treatment with western medicine. Both groups were treated for 6 weeks continuously， and the therapeutic effect， symptom scores and safety of the two groups were taken as evaluation indicators. Results The effective rate of group A was 84.62%， and the effective rate of group B was 67.95%， the difference was statistically significant （P < 0.05）. The visual analogue scales of different symptoms after treatment in group A were significantly lower than those of group B， the differences were statistically significant （P < 0.05）. There was no significant difference in the incidence of complications between the two groups （P > 0.05）. Conclusion Jieyu Tongqiao Decoction can effectively improve the symptoms of patients with post-traumatic syndrome and has good efficacy.

[Key words] Jieyu Tongqiao Decoction； Post-traumatic syndrome； Treatment based on syndrome differentiation

近年來，随着我国交通事故发生率逐年增加，脑外伤综合征的发生率也逐年增加，脑外伤综合征严重影响了患者脑功能的恢复[1]，因此如何有效地进行脑外伤综合征的治疗具有重要的临床意义。多年来，脑外伤综合征多采用西医对症疗法进行治疗，但是治疗效果不显著，因而一直困扰着患者，也困扰着临床医护人员，中医采用辨证论治的原则，针对不同的证型使用不同的药物，可有效提高治疗的针对性，符合现代临床“个性化”治疗趋势[2]，基于此，本研究采用解郁通窍汤加减进行脑外伤综合征的临床治疗，并与同期接受常规西医综合治疗患者的效果进行比较，现报道如下：

1 资料与方法

1.1 一般资料

收集2013年5月～2014年5月日照市东港区人民医院神经外科收治的脑外伤后综合征患者156例，采用随机数字法将其分为两组。……