中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
20期
2751-2752
,共2页
微创%清除术%颅内血肿%高血压
微創%清除術%顱內血腫%高血壓
미창%청제술%로내혈종%고혈압
Minimally invasive%Removal%Cerebral hemorrhage%Hypertension
目的 探讨微创颅内血肿清除术与保守治疗对高血压脑出血老年患者近期疗效的影响。方法 将60例高血压脑出血老年患者随机等分微创组和保守组，微创组采用YL-1型穿刺针刺入血肿边缘，缓慢穿刺至血肿边缘进行抽吸，保守组采用降压药、脱水剂、清除自由基和营养脑神经细胞等保守治疗。观察两组血肿清除时间、神经功能恢复和术后生活能力等方面临床疗效。结果 微创组和保守组血肿清除时间分别为(4.5±1.2)d和(17.0±1.9)d，两组比较差异有统计学意义(t=16.04，P＜0.05)；微创组和保守组神经功能恢复有效率分别为66.7％和93.3％，两组比较差异有统计学意义(x2 =5.46，P＜0.05)；微创组和保守组日常生活能力恢复总有效率分别为80.0％和50.0％，两组比较差异有统计学意义(x2=5.93，P＜0.05)；微创组和保守组并发症发生率分别为30.0％和66.7％，两组比较差异有统计学意义(x2=8.08，P＜0.05)。结论 微创颅内血肿清除术是治疗老年高血压脑出血的理想方法，可明显缩短血肿清除时间，提高患者生存质量，从而改善预后。
目的 探討微創顱內血腫清除術與保守治療對高血壓腦齣血老年患者近期療效的影響。方法 將60例高血壓腦齣血老年患者隨機等分微創組和保守組，微創組採用YL-1型穿刺針刺入血腫邊緣，緩慢穿刺至血腫邊緣進行抽吸，保守組採用降壓藥、脫水劑、清除自由基和營養腦神經細胞等保守治療。觀察兩組血腫清除時間、神經功能恢複和術後生活能力等方麵臨床療效。結果 微創組和保守組血腫清除時間分彆為(4.5±1.2)d和(17.0±1.9)d，兩組比較差異有統計學意義(t=16.04，P＜0.05)；微創組和保守組神經功能恢複有效率分彆為66.7％和93.3％，兩組比較差異有統計學意義(x2 =5.46，P＜0.05)；微創組和保守組日常生活能力恢複總有效率分彆為80.0％和50.0％，兩組比較差異有統計學意義(x2=5.93，P＜0.05)；微創組和保守組併髮癥髮生率分彆為30.0％和66.7％，兩組比較差異有統計學意義(x2=8.08，P＜0.05)。結論 微創顱內血腫清除術是治療老年高血壓腦齣血的理想方法，可明顯縮短血腫清除時間，提高患者生存質量，從而改善預後。
목적 탐토미창로내혈종청제술여보수치료대고혈압뇌출혈노년환자근기료효적영향。방법 장60례고혈압뇌출혈노년환자수궤등분미창조화보수조，미창조채용YL-1형천자침자입혈종변연，완만천자지혈종변연진행추흡，보수조채용강압약、탈수제、청제자유기화영양뇌신경세포등보수치료。관찰량조혈종청제시간、신경공능회복화술후생활능력등방면림상료효。결과 미창조화보수조혈종청제시간분별위(4.5±1.2)d화(17.0±1.9)d，량조비교차이유통계학의의(t=16.04，P＜0.05)；미창조화보수조신경공능회복유효솔분별위66.7％화93.3％，량조비교차이유통계학의의(x2 =5.46，P＜0.05)；미창조화보수조일상생활능력회복총유효솔분별위80.0％화50.0％，량조비교차이유통계학의의(x2=5.93，P＜0.05)；미창조화보수조병발증발생솔분별위30.0％화66.7％，량조비교차이유통계학의의(x2=8.08，P＜0.05)。결론 미창로내혈종청제술시치료노년고혈압뇌출혈적이상방법，가명현축단혈종청제시간，제고환자생존질량，종이개선예후。
Objective To compare the therapeutic effect of mininal]y invasive removal of intracranial hematoma and conservative treatment in curing hypertension cerebral hemorrhage of elderly patients.Methods 60 patients with hypertension cerebral hemorrhage were divided into two groups.Group A were adopted minimally invasive removal of intracranial hematoma(YL-1 type puncture needle was used into the hematoma edge,and sucked slowly the hematoma), and group B were adopted medical treatment(antihypertensive drugs, dehydration, free radicals and nutrition conservative treatment) ,then clinical therapeutic effect and activity of daily living were observed.Results The hematoma evacuation time in group A (4.5 ± 1.2) d is shorter than in group B (17.0 ± 1.9) d (t = 6.04 ,P ＜ 0.05) ; The rate of neurological function recovery in group A (66.7％) is higher than in group B(93.3％) (x2 = 5.46,P ＜0.05) ; The activity of daily living in group A (80.0％) was better than group B (50.0％) (x2 = 5.93, P ＜ 0.05).The complication rate in group A (30.0％) is lower than in group B (66.7％) (x2 = 8.08, P ＜ 0.05).Conclusion The therapeutic effect of minimally invasive removal of intracranial hematoma in curing hypertension cerebral hemorrhage was better than medical treatment.
