中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2011年
17期
15-17
,共3页
金玲江%郑怡红%林达%何文根%林正%鲍贤俊
金玲江%鄭怡紅%林達%何文根%林正%鮑賢俊
금령강%정이홍%림체%하문근%림정%포현준
颅内出血,高血压性%颅内微创血肿穿刺术%小骨窗血肿清除术
顱內齣血,高血壓性%顱內微創血腫穿刺術%小骨窗血腫清除術
로내출혈,고혈압성%로내미창혈종천자술%소골창혈종청제술
htracranial hemorrhage,hypertensive%Microscopic evacuation of intracranial hematoma%Small bone flap approach microsurgical operation
目的 对比观察颅内微创血肿穿刺术与小骨窗血肿清除术治疗高血压性脑出血的临床疗效.方法 选取2008年6月至2010年6月收治的116例高血压性脑出血患者.按照随机数字表法分为两组,每组58例.A组采用颅内微创血肿穿刺术治疗,B组采用小骨窗血肿清除术治疗,比较两组的临床疗效及神经功能恢复情况.结果 A组治疗的总有效率为87.9%(51/58),明显高于B组的72.4%(42/58),两组比较差异有统计学意义(P<O.05).A组治疗后14、28d神经功能缺损程度评分分别为(22.1±6.2)、(12.6±3.3)分,B组分别为(23.5±6.7)、(18.6±5.1)分.两组治疗后14、28 d神经功能缺损程度评分均较治疗前[A组:(41.9±8.1)分;B组(41.7±7.9)分]明显下降,差异有统计学意义(P<0.05).A组治疗后28 d神经功能缺损程度评分明显低于B组(P(0.05).结论 颅内微创血肿穿刺术与小骨窗血肿清除术均是治疗高血压性脑出血的有效手段,但颅内微创血肿穿刺术的疗效更佳,并且能够显著改善患者的神经功能状态.
目的 對比觀察顱內微創血腫穿刺術與小骨窗血腫清除術治療高血壓性腦齣血的臨床療效.方法 選取2008年6月至2010年6月收治的116例高血壓性腦齣血患者.按照隨機數字錶法分為兩組,每組58例.A組採用顱內微創血腫穿刺術治療,B組採用小骨窗血腫清除術治療,比較兩組的臨床療效及神經功能恢複情況.結果 A組治療的總有效率為87.9%(51/58),明顯高于B組的72.4%(42/58),兩組比較差異有統計學意義(P<O.05).A組治療後14、28d神經功能缺損程度評分分彆為(22.1±6.2)、(12.6±3.3)分,B組分彆為(23.5±6.7)、(18.6±5.1)分.兩組治療後14、28 d神經功能缺損程度評分均較治療前[A組:(41.9±8.1)分;B組(41.7±7.9)分]明顯下降,差異有統計學意義(P<0.05).A組治療後28 d神經功能缺損程度評分明顯低于B組(P(0.05).結論 顱內微創血腫穿刺術與小骨窗血腫清除術均是治療高血壓性腦齣血的有效手段,但顱內微創血腫穿刺術的療效更佳,併且能夠顯著改善患者的神經功能狀態.
목적 대비관찰로내미창혈종천자술여소골창혈종청제술치료고혈압성뇌출혈적림상료효.방법 선취2008년6월지2010년6월수치적116례고혈압성뇌출혈환자.안조수궤수자표법분위량조,매조58례.A조채용로내미창혈종천자술치료,B조채용소골창혈종청제술치료,비교량조적림상료효급신경공능회복정황.결과 A조치료적총유효솔위87.9%(51/58),명현고우B조적72.4%(42/58),량조비교차이유통계학의의(P<O.05).A조치료후14、28d신경공능결손정도평분분별위(22.1±6.2)、(12.6±3.3)분,B조분별위(23.5±6.7)、(18.6±5.1)분.량조치료후14、28 d신경공능결손정도평분균교치료전[A조:(41.9±8.1)분;B조(41.7±7.9)분]명현하강,차이유통계학의의(P<0.05).A조치료후28 d신경공능결손정도평분명현저우B조(P(0.05).결론 로내미창혈종천자술여소골창혈종청제술균시치료고혈압성뇌출혈적유효수단,단로내미창혈종천자술적료효경가,병차능구현저개선환자적신경공능상태.
Objective To compare and observe the clinical effects of microscopic evacuation of intraeranial hematoma and small bone flap approach mierosurgical operation in treatment of hypertensive cerebral hemorrhage.Methods From June 2008 to June 2010,116 cases of patients with hypertensive cerebral hemorrhage were classified into two groups with 58 cases in each by random digits table.Group A was treated with microscopic evacuation of intracranial hematoma and group B was treated with small bone flap approach microsurgical operation.The clinical efficacy and neurological impairment Scores were observed and compared between the two groups.Results The total effective rate in group A[87.9%(51/58)]was significantly higher than that in group B[72.4%(42,58)](P<0.05).After treatment 14 d and 28 d,the neurological impairment scores in group A were (22.1±6.2).(12.6±3.3)scores and in group B were (23.5±6.7),(18.6±5.1)scores.Compared with pre-treatment[group A:(41.9±8.1)scores;group B (41.7±7.9)scores],after treatment l4 d and 28 d,the neurological impairment scores in two groups were significantly decreased(P<0.05).Moreover,After treatment28 d,the neurological impairment scores in group A were significantly lower than those in group B(P<0.05).Conclusion Both microscopic evacuation of intracranial hematoma and small bone flap approach microsurgical operation are effective methods in hypertensive cerebral hemorrhage,but microscopic evacuation of intracranial hematoma can enhance the effect and improve the neurological function.
