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
35期
8-10
,共3页
夏海全%姜昊荣%顾天一%杨其国
夏海全%薑昊榮%顧天一%楊其國
하해전%강호영%고천일%양기국
脑出血%小骨窗开颅术%颅骨钻孔引流术
腦齣血%小骨窗開顱術%顱骨鑽孔引流術
뇌출혈%소골창개로술%로골찬공인류술
Cerebral hemorrhage%Small bone flap craniotony%Skull drill drainage perfusion
目的 比较小骨窗开颅术与颅骨钻孔引流术治疗高血压性脑出血的临床疗效.方法 将98例高血压性脑出血患者按随机数字表法分为A、B两组,每组49例.A组采用小骨窗开颅术治疗,B组采用颅骨钻孔引流术治疗,比较两组的临床疗效.结果 A组的近期总有效率为83.7％(41/49),明显高于B组的65.3％ (32/49),两组比较差异有统计学意义(P＜0.05).A组的远期良好率为55.1％( 27/49),明显高于B组的26.5％(13/49),两组比较差异有统计学意义(P＜0.05).结论 小骨窗开颅术对高血压性脑出血进行治疗的近期疗效和远期疗效均优于颅骨钻孔引流术.
目的 比較小骨窗開顱術與顱骨鑽孔引流術治療高血壓性腦齣血的臨床療效.方法 將98例高血壓性腦齣血患者按隨機數字錶法分為A、B兩組,每組49例.A組採用小骨窗開顱術治療,B組採用顱骨鑽孔引流術治療,比較兩組的臨床療效.結果 A組的近期總有效率為83.7％(41/49),明顯高于B組的65.3％ (32/49),兩組比較差異有統計學意義(P＜0.05).A組的遠期良好率為55.1％( 27/49),明顯高于B組的26.5％(13/49),兩組比較差異有統計學意義(P＜0.05).結論 小骨窗開顱術對高血壓性腦齣血進行治療的近期療效和遠期療效均優于顱骨鑽孔引流術.
목적 비교소골창개로술여로골찬공인류술치료고혈압성뇌출혈적림상료효.방법 장98례고혈압성뇌출혈환자안수궤수자표법분위A、B량조,매조49례.A조채용소골창개로술치료,B조채용로골찬공인류술치료,비교량조적림상료효.결과 A조적근기총유효솔위83.7％(41/49),명현고우B조적65.3％ (32/49),량조비교차이유통계학의의(P＜0.05).A조적원기량호솔위55.1％( 27/49),명현고우B조적26.5％(13/49),량조비교차이유통계학의의(P＜0.05).결론 소골창개로술대고혈압성뇌출혈진행치료적근기료효화원기료효균우우로골찬공인류술.
Objective To compare the clinical effect of small bone flap craniotony and skull drill drainage in treatment of hypertensive cerebral hemorrhage.Methods Ninety -eight patients with hypertensive cerebral hemorrhage were classified into group A and group B by random number table with 49 cases in each.Group A was used small bone flap craniotony,and group B was used skull drill drainage.The clinical effects between two groups were compared.Results The short-term total effective rate in group A was 83.7％(41/49 ),which was significantly higher than that in group B with 65.3％(32/49 )(P ＜ 0.05 ).The long-term good rate in group A was 55.1％(27/49),which was significantly higher than that in group B with 26.5％ (13/49) (P ＜ 0.05 ).Conclusion Both the short-term and long-term effective rate of small bone flap craniotony for hypertensive cerebral hemorrhage are better than skull drill drainage.
