摘要目的:探讨通窍化瘀汤治疗头外伤颅内血肿的临床效果。方法:抽取河南中医药大学第一附属医院2018年1月至2020年10月收治的96例头外伤颅内血肿患者(观察组)和2016年1月至2017年12月收治的91例头外伤颅内血肿患者(对照组)作为研究对象，对照组予以常规西医保守疗法干预，观察组予以常规西医治疗联合通窍化瘀汤治疗。比较两组患者的临床治疗效果。结果:观察组临床总有效率为96.88%(93/96)，高于对照组的86.81%(79/91)， P<0.05。用药1、2个疗程后，观察组血肿吸收率均高于对照组( P均<0.05)。治疗后，两组患者Barthel指数评分和功能综合评定量表评分均升高，且观察组高于对照组( P<0.05)。 结论:通窍化瘀汤联合西医保守治疗用于头外伤颅内血肿患者有助于血肿的吸收，且可以提高生活质量和机体功能。

abstractsObjective:To investigate the clinical effect of Tongqiao Huayu decoction on intracranial hematoma after head trauma.Methods:Ninety-six patients with head trauma intracranial hematoma treated in the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from January 2018 to October 2020 were selected as the observation group, and 91 patients with head trauma intracranial hematoma treated in the hospital from January 2016 to December 2017 were selected as the control group. The control group was given conventional Western medicine conservative therapy, and the observation group was given conventional Western medicine combined with Tongqiao Huayu decoction. The clinical treatment effects of the two groups were compared.Results:The total clinical effective rate in the observation group was 96.88% (93/96), which was higher than 86.81% (79/91) in the control group ( P<0.05). After 1 and 2 courses of treatment, the absorption rate of hematoma in the observation group was higher than that in the control group (all P<0.05). After treatment, the Barthel index score and the functional comprehensive assessment scale score of the two groups were increased, and these socres of the observation group were higher than those of the control group ( P<0.05). Conclusions:TongqiaoHuayu decoction combined with Western medicine conservative treatment for patients with intracranial hematoma of head trauma can help the absorption of hematoma, and improve the quality of life and body function.