CAJ | 학술논문

目的探讨采用微创血肿引流术治疗高血压脑出血的临床疗效.方法 60例高血压脑出血患者随机分为观察组和对照组各30例,其中观察组采用微创血肿引流术,对照组采用小骨窗颅内血肿清除术,观察并比较两组的临床疗效及对患者神经功能恢复的影响.结果观察组的手术所用时间明显短于对照组.两组术后病死率、并发症发生率差异均有统计学意义(均P<0.05).观察组血肿清除引流时间明显短于对照组,治疗后21 d的SSS评分明显高于对照组,MRS评分及BI评分均较治疗前及对照组有显著改善,且不同日常生活活动能力(ADL)分级也明显优于对照组(P<0.05或P<0.01).结论微创血肿引流术治疗高血压脑出血用时短,能明显促进患者的神经功能恢复,降低并发症发生率及病死率,也有利于ADL恢复.
목적 탐토채용미창혈종인류술치료고혈압뇌출혈적림상료효.방법 60례고혈압뇌출혈환자수궤분위관찰조화대조조각30례,기중관찰조채용미창혈종인류술,대조조채용소골창로내혈종청제술,관찰병비교량조적림상료효급대환자신경공능회복적영향.결과 관찰조적수술소용시간명현단우대조조.량조술후병사솔、병발증발생솔차이균유통계학의의(균P<0.05).관찰조혈종청제인류시간명현단우대조조,치료후21 d적SSS평분명현고우대조조,MRS평분급BI평분균교치료전급대조조유현저개선,차불동일상생활활동능력(ADL)분급야명현우우대조조(P<0.05혹P<0.01).결론 미창혈종인류술치료고혈압뇌출혈용시단,능명현촉진환자적신경공능회복,강저병발증발생솔급병사솔,야유리우ADL회복.
Objective To evaluate the efficacy of minimally invasive drairage of hematoma in treatment of hypertensive cerebral hemorrhage. Methods 60 patients with hypertensive cerebral hemorrhage were randomly divided into two groups,including the observation group of minimally invasive hematoma drainage, the control group 30 cases, a small bone window intracranial hematoma,observe and compare the two groups of hypertensive cerebral hemorrhage the neurological function recovery. Results The operative time was significantly shorter than that used in the control group. Postoperative mortality, the difference was significant (P <rate,the difference was significant( P < 0.05 ). Hematoma drainage time of the observation group was significantly shorter than that in the control group,two groups of neural function in SSS score comparison showed that 21 daysafter treatment ,SSS score in observation group was significantly higher in the observation group than the control group. Observation group MRS scores and BI scores were significantly improved, and the ADL rating was significantly beffer than the control group( P < 0.05 or P < 0.01 ). Conclusion The minimally invasive hematoma drainage in the treatment of hypertensive cerebral hemorrhage with a short time, could significantly promote the recovery of neurological function in patients and reduce patient complications and mortality ,but also be neficial to activities of daily living (ADL) recovery.