【摘要】 目的:探讨中医辨证结合硬通道穿刺引流术治疗慢性硬膜下血肿临床疗效。方法:该研究选取2012年6月-2022年6月在丹阳市中医院脑外科住院行硬通道穿刺引流术的80例患者作为研究对象，采用随机数字表法分为中医组与对照组，比较两组患者术后3个月临床疗效、术前及术后3个月中国卒中量表(CSS)评分和日常生活能力mRS评分、KPS评分、术后并发症发生率。结果:中医组术后3个月总有效率显著优于对照组，两组间比较差异具有统计学意义(P<0.05)。两组患者术后3个月CSS评分和mRS评分均较术前有所降低，KPS评分均较术前有所升高，两组患者术前与术后3个月比较，差异具有统计学意义(P<0.05);中医组术后3个月CSS评分和mRs评分相比对照组显著较低，KPS评分相比对照组明显较高，两组比较差异具有统计学意义(P<0.05)。术后第7天，中医组与对照组相比，血清NSE水平明显较低，差异具有统计学意义(P<0.05)。术后并发症发生率中医组较对照组低，差异具有统计学意义(P<0.05)。结论:中医辨证结合微创穿刺引流术治疗慢性硬膜下血肿，标本同治，疗效确切，并发症发生率较低，神经功能障碍改善显著，患者日常生活能力得以提升，具有一定的临床价值。更多还原

【Abstract】 Objective:To explore the clinical efficacy of TCM syndrome differentiation combined with hard tunnel puncture and drainage for chronic subdural hematoma.Methods:This study selected 80 patients admitted in brain surgery department of Danyang Hospital of Traditional Chinese Medicine from June 2012 to June 2022,which were divided into Chinese medicine group and control group to compare the clinical efficacy, preoperative and 3 months of Chinese stroke scale(CSS) score and daily living mRS score, KPS score and postoperative complications.Results:The total response rate obtained at 3 months after surgery was significantly better in the TCM group than in the control group, and there was a statistically significant difference between the two groups(P<0.05).The CSS and mRS scores in both groups were lower compared with the preoperative scores, and the KPS scores were higher compared with the preoperative and 3 months were statistically significant(P<0.05);the CSS score and mRs scores in the TCM group were significantly lower compared with the control group, and the KPS scores was significantly higher than the control group(P<0.05).On the seventh postoperative day, the serum NSE level of TCM patients was significantly lower than that in the control group, with a statistically significant difference(P<0.05).The incidence of postoperative complications was lower in the TCM group than in the control group, and the difference was significant(P<0.05).Conclusion:The combination of TCM syndrome differentiation with minimally invasive puncture and drainage to treat chronic subdural hematoma, with curative effect, the incidence of complications is low, the neurological dysfunction is significantly improved, and the daily living ability of patients can be improved, which has certain clinical value.更多还原