中国医药
中國醫藥
중국의약
CHINA MEDICINE
2010年
12期
1134-1136
,共3页
颅内出血,高血压性%低温%外科手术,微创性
顱內齣血,高血壓性%低溫%外科手術,微創性
로내출혈,고혈압성%저온%외과수술,미창성
Intracranial hemorrhage hypertensive%Hypothermia%Surgery procedures,minimally invasive
目的 研究微创血肿清除术联合亚低温治疗高血压脑出血的临床疗效.方法 将128例高血压脑出血患者分为3组:常规治疗组行内科保守治疗;微创治疗组在常规治疗的同时行微创血肿清除术;联合治疗组行常规治疗+微创血肿清除术+亚低温治疗.比较3组治疗前后神经功能缺损评分(NIHSS)和治疗后随访90 d时的日常生活能力Barthel指数.结果 治疗30、90 d后NIHSS评分联合治疗组[(6.4±4.2)分、(1.9±1.2)分]低于微创治疗组[(8.1±2.7)分、(3.2±2.4)分],微创治疗组低于常规治疗组[(9.9±3.2)分、(5.4±1.7)分](均P＜0.05);治疗90 d后Barthel指数微创治疗组为(56.4±36.2)分,大于常规治疗组的(40.6±21.2)分,联合治疗组为(78.7±51.9)分,大于微创治疗组,差异均有统计学意义(P＜0.05).结论 微创血肿清除术和亚低温联合治疗高血压脑出血可明显降低病死率和致残率,有利于神经功能恢复.
目的 研究微創血腫清除術聯閤亞低溫治療高血壓腦齣血的臨床療效.方法 將128例高血壓腦齣血患者分為3組:常規治療組行內科保守治療;微創治療組在常規治療的同時行微創血腫清除術;聯閤治療組行常規治療+微創血腫清除術+亞低溫治療.比較3組治療前後神經功能缺損評分(NIHSS)和治療後隨訪90 d時的日常生活能力Barthel指數.結果 治療30、90 d後NIHSS評分聯閤治療組[(6.4±4.2)分、(1.9±1.2)分]低于微創治療組[(8.1±2.7)分、(3.2±2.4)分],微創治療組低于常規治療組[(9.9±3.2)分、(5.4±1.7)分](均P＜0.05);治療90 d後Barthel指數微創治療組為(56.4±36.2)分,大于常規治療組的(40.6±21.2)分,聯閤治療組為(78.7±51.9)分,大于微創治療組,差異均有統計學意義(P＜0.05).結論 微創血腫清除術和亞低溫聯閤治療高血壓腦齣血可明顯降低病死率和緻殘率,有利于神經功能恢複.
목적 연구미창혈종청제술연합아저온치료고혈압뇌출혈적림상료효.방법 장128례고혈압뇌출혈환자분위3조:상규치료조행내과보수치료;미창치료조재상규치료적동시행미창혈종청제술;연합치료조행상규치료+미창혈종청제술+아저온치료.비교3조치료전후신경공능결손평분(NIHSS)화치료후수방90 d시적일상생활능력Barthel지수.결과 치료30、90 d후NIHSS평분연합치료조[(6.4±4.2)분、(1.9±1.2)분]저우미창치료조[(8.1±2.7)분、(3.2±2.4)분],미창치료조저우상규치료조[(9.9±3.2)분、(5.4±1.7)분](균P＜0.05);치료90 d후Barthel지수미창치료조위(56.4±36.2)분,대우상규치료조적(40.6±21.2)분,연합치료조위(78.7±51.9)분,대우미창치료조,차이균유통계학의의(P＜0.05).결론 미창혈종청제술화아저온연합치료고혈압뇌출혈가명현강저병사솔화치잔솔,유리우신경공능회복.
Objective To explore the clinical effect of minimally invasive surgery combined with mild hypothermia in treatment of hypertensive cerebral hemorrhage. Methods One hundred and twenty-eight cases with hypertensive cerebral hemorrhage were divided into three groups randomly: standard therapy group with medical conservative treatment; minimally invasive surgery group with cleaning intracranial hemorrhage at the time of medical therapy; combined therapy group with medical therapy and cleaning intracranial hemorrhage at the time of mild hypothermia therapy. Three groups with the National institute of Health Stroke scale (NIHSS) score was compared. The clinical therapeutic effects and Barthel index which was accessed in both groups before treatment and ninety days later. Results The total clinical NIHSS was lower than minimally invasive surgery group,the NIHSS in minimally invasive surgery group was lower than the medical therapy group ( P ＜ 0.05 ); after 90 days, the barthel index ( 56.36 ±36.16) in the minimally invasive surgery group was higher than the barthel index (40. 56 ±21.22) in the medical therapy group. The barthel index(78.66 ±51.92) in the combined therapy group was higher than that in the minimally invasive surgery group (P ＜ 0.05 ). Conclusion Combined therapy of minimally invasive surgery and mild hypothermia can significant reduce morbidity and disability rates and improve renew nerval function.
