中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2008年
10期
712-714
,共3页
周厚广%董强%薛建中%尤年兴%刘玲%黄保元%黄剑岗%石志革
週厚廣%董彊%薛建中%尤年興%劉玲%黃保元%黃劍崗%石誌革
주후엄%동강%설건중%우년흥%류령%황보원%황검강%석지혁
颅内出血,血压性%穿刺术
顱內齣血,血壓性%穿刺術
로내출혈,혈압성%천자술
Intracranial hemorrhage,hypertensive%Punctures
对比分析微创穿刺血肿清除术、传统开颅手术及内科保守治疗高血压脑出血的临床疗效及应用价值.205例高血压脑出血患者中,行微创穿刺血肿清除术80例(微创组),传统开颅手术78例(开颅组),内科保守治疗47例(保守组).结果 微创组术后意识水平和格拉斯哥昏迷评分均较另两组有所改善,术后主要并发症发生率较其他两组有所减少;微创组总病死率与开颅组无明显差异,但两组均显著低于保守组;微创组重残率明显低于其他两组;微创组日常生活活动能力(ADL)1~3级率、语言恢复优良率及显效率均显著高于其他两组.提示微创穿刺血肿清除术在减少术后并发症,降低患者重残率及提高生存质量等方面优于传统开颅手术和内科保守治疗.
對比分析微創穿刺血腫清除術、傳統開顱手術及內科保守治療高血壓腦齣血的臨床療效及應用價值.205例高血壓腦齣血患者中,行微創穿刺血腫清除術80例(微創組),傳統開顱手術78例(開顱組),內科保守治療47例(保守組).結果 微創組術後意識水平和格拉斯哥昏迷評分均較另兩組有所改善,術後主要併髮癥髮生率較其他兩組有所減少;微創組總病死率與開顱組無明顯差異,但兩組均顯著低于保守組;微創組重殘率明顯低于其他兩組;微創組日常生活活動能力(ADL)1~3級率、語言恢複優良率及顯效率均顯著高于其他兩組.提示微創穿刺血腫清除術在減少術後併髮癥,降低患者重殘率及提高生存質量等方麵優于傳統開顱手術和內科保守治療.
대비분석미창천자혈종청제술、전통개로수술급내과보수치료고혈압뇌출혈적림상료효급응용개치.205례고혈압뇌출혈환자중,행미창천자혈종청제술80례(미창조),전통개로수술78례(개로조),내과보수치료47례(보수조).결과 미창조술후의식수평화격랍사가혼미평분균교령량조유소개선,술후주요병발증발생솔교기타량조유소감소;미창조총병사솔여개로조무명현차이,단량조균현저저우보수조;미창조중잔솔명현저우기타량조;미창조일상생활활동능력(ADL)1~3급솔、어언회복우량솔급현효솔균현저고우기타량조.제시미창천자혈종청제술재감소술후병발증,강저환자중잔솔급제고생존질량등방면우우전통개로수술화내과보수치료.
Two hundred and five patients with hypertensive intracerehral hemorrhage (HICH) received mini-puncture hematoma scavenging technique (MPST; n=80), traditional craniotomy operation (TCO; n=78), or medicine expectant treatment (MET; n=47), respectively. Clinical data demostrated that consciousness level and Glasgow Coma Scale (GCS) was more obviously improved in the MPST group,while postoperative complication rate was relatively lower. The MPST group and TCO group saw no significant difference in over-all matality, although both were significantly lower than the MET group. Severe disability rate in the MPST group was significantly decreased. In comparison with the TCO or MET group, 1 to 3 class activity of daily life score, language function recovery and response rate in the MPST group significantly improved (all P<0.05). We suggest that because of lower severe disability rate, less postoperative complications, and improved quality of life, MPST should be a better treatment of choice for HICH patients.