ZHONGHUA YANGSHENG BAOJIAN ›› 2022, Vol. 40 ›› Issue (15): 1-4.

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Clinical Effect of Angong Niuhuang Pill in the Treatment of Cerebral Vasospasm after Craniocerebral Injury

XU Long-biao1, HUANG Huan-ming2, WU Tian-ya2, ZHU Jia-ming2, CHEN Shi-qi1, WAN Ye-dong1, WANG Guan-hua3, *   

  1. 1. Department of Neurosurgery, The Third Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou Zhejiang, 310000, China;
    2. Department of Neurosurgery, Zhuji People's Hospital, Shaoxing Zhejiang, 311800, China;
    3. Department of Surgery, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, WenzhouZhejiang, 325001, China
  • Online:2022-08-01 Published:2022-07-26

Abstract: Objective To study the therapeutic effect of Angong Niuhuang Pill on cerebral vasospasm in patients with craniocerebral injury. Methods A total of 72 patients with cerebral vasospasm admitted to Zhuji People's Hospital after craniocerebral injury from June 2019 to June 2021 were selected and divided into the control group and the treatment group, with 36 cases in each groups.The control group was treated with common treatment methods combined with basic treatment methods; the treatment group was additionally treated with Angong Niuhuang Pill on the basis of the treatment of the control group.The changes of Glass Score (GCS) before and after 14 days of treatment were compared between the two groups, and the blood flow velocity of the middle cerebral artery was measured by transcranial Doppler ultrasound and was compared between the two groups. Results The blood flow velocity of the middle cerebral artery in the treatment group was significantly lower than that in the control group at 3, 7, and 14 days after treatment, and the difference was statistically significant(P<0.05).The Glass score after treatment in the treatment group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Angong Niuhuang Pill has the effect of dilating blood vessels and inhibiting the inward flow of calcium ions in post-traumatic brain injury patients, thereby reducing cerebral edema, regulating cerebral blood flow, reducing the average flow rate of the middle cerebral artery, and therefore reducing the occurrence of traumatic cerebral vasospasm.

Key words: Angong Niuhuang Pill, nimodipine, traumatic cerebral vasospasm

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