中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2009年
6期
576-578
,共3页
白云驰%阚志生%崔永鹏%刘宝军%王欢%冯世宇
白雲馳%闞誌生%崔永鵬%劉寶軍%王歡%馮世宇
백운치%감지생%최영붕%류보군%왕환%풍세우
脑出血%腰大池持续引流%微骨窗入路%外科手术
腦齣血%腰大池持續引流%微骨窗入路%外科手術
뇌출혈%요대지지속인류%미골창입로%외과수술
Hypertensive cerebral hemorrhage%Lumber continued drainage of cerebrospinal fluid%Key-hole approach%Surgical operation
目的 评估小骨窗开颅血肿清除术后进行腰大池持续引流与标准大骨辩开颅血肿清除对高血压脑出血患者预后的影响.方法 对38例高血压脑出血患者采用小骨窗开颅血肿清除术后进行腰大池持续引流治疗,于术后1、6个月分别行GCS、COS、Barthel指数、语言障碍程度及运动功能障碍程度评分,并与标准大骨瓣开颅血肿清除术治疗的34例患者进行比较.结果 实验组与对照组术前、术后1周GCS评分分别为6.8±2.1与6.6±2.3,10.5±2.5与8.7±2.2;术后1、6个月COS评分分别为3.4±0.3与2.8±0.2,4.1±0.6与3.2±0.4;术后6个月Barthel指数、语言障碍程度及运动功能障碍程度评分分别为63.15±11.64与51.76±12.81,1.7±0.3与2.3±0.2,2.0±0.3与2.6±0.4;2组比较,差异均有统计学意义(P<0.05或P<0.01).结论小骨窗开颅血肿清除术后进行腰大池持续引流治疗高血压脑出血的患者与对照组相比,神经功能恢复速度较快、恢复程度较高,有利于提高患者的生存质量.
目的 評估小骨窗開顱血腫清除術後進行腰大池持續引流與標準大骨辯開顱血腫清除對高血壓腦齣血患者預後的影響.方法 對38例高血壓腦齣血患者採用小骨窗開顱血腫清除術後進行腰大池持續引流治療,于術後1、6箇月分彆行GCS、COS、Barthel指數、語言障礙程度及運動功能障礙程度評分,併與標準大骨瓣開顱血腫清除術治療的34例患者進行比較.結果 實驗組與對照組術前、術後1週GCS評分分彆為6.8±2.1與6.6±2.3,10.5±2.5與8.7±2.2;術後1、6箇月COS評分分彆為3.4±0.3與2.8±0.2,4.1±0.6與3.2±0.4;術後6箇月Barthel指數、語言障礙程度及運動功能障礙程度評分分彆為63.15±11.64與51.76±12.81,1.7±0.3與2.3±0.2,2.0±0.3與2.6±0.4;2組比較,差異均有統計學意義(P<0.05或P<0.01).結論小骨窗開顱血腫清除術後進行腰大池持續引流治療高血壓腦齣血的患者與對照組相比,神經功能恢複速度較快、恢複程度較高,有利于提高患者的生存質量.
목적 평고소골창개로혈종청제술후진행요대지지속인류여표준대골변개로혈종청제대고혈압뇌출혈환자예후적영향.방법 대38례고혈압뇌출혈환자채용소골창개로혈종청제술후진행요대지지속인류치료,우술후1、6개월분별행GCS、COS、Barthel지수、어언장애정도급운동공능장애정도평분,병여표준대골판개로혈종청제술치료적34례환자진행비교.결과 실험조여대조조술전、술후1주GCS평분분별위6.8±2.1여6.6±2.3,10.5±2.5여8.7±2.2;술후1、6개월COS평분분별위3.4±0.3여2.8±0.2,4.1±0.6여3.2±0.4;술후6개월Barthel지수、어언장애정도급운동공능장애정도평분분별위63.15±11.64여51.76±12.81,1.7±0.3여2.3±0.2,2.0±0.3여2.6±0.4;2조비교,차이균유통계학의의(P<0.05혹P<0.01).결론소골창개로혈종청제술후진행요대지지속인류치료고혈압뇌출혈적환자여대조조상비,신경공능회복속도교쾌、회복정도교고,유리우제고환자적생존질량.
Objective To evaluate the therapeutic effects of Lumber continued drainage of cerebrospinal fluid after Key-hole approach operation and craniotomic hematoma elimination on the prognosis of hypertensive in-tracerebral hemorrhage patients. Methods Lumber continued drainage of cerebrospinal fluid after Key-hole ap-proach operation was conducted on 38 hypertensive intracerebral hemorrhage patients. At the 1st month and 6th month after operation, Glasgow coma scale (GCS), Glasgow outcome scale (GOS), Barthel index, language barrier degree evaluation and sports function barrier degree evaluation were measured. The therapeutic effects were observed and compared with 34 patients who were operated by craniotomic hematoma elimination. Results GCS was 6.8± 2.1,6.6±2.3 before operation and 10.5±2.5,8.7±2.2 one week after operation in experimental group and con-trol group respectively; GOS was 3.4±0.3,2.8±0.2 one month after operation and 4.1±0.6,3.2±0.4 six month after operation in experimental group and control group respectively; Bartherl index, language barrier degree and sports function barrier degree were 63.15±11.64,51.76±12.81 and 1.7±0.3,2.3±0.2,2.0±0.3, and 2.6± 0.4 (P<0.05 or P<0.01). Conclusion Lumber continued drainage of cerebrospinal fluid after Key-hole approach operation offers greater help in improving the patients' quality of existence, by which the neurological function recov-ers faster and the patients recover well.
