CAJ | 학술논문

目的探讨钻颅血肿抽吸术治疗高血压脑出血的临床疗效.方法 188例高血压脑出血患者随机分为对照组和观察组,每组94例,对照组采用内科保守治疗,观察组采用钻颅血肿抽吸术,比较两组的临床疗效及术后日常生活能力(ADL).结果观察组治疗的总有效率明显高于对照组(P＜0.05).观察组的死亡率明显低于对照组,两组比较差异有统计学意义(P＜0.05).两组治疗后2、4周Barthel指数评分均较治疗前明显升高(P＜0.05).观察组治疗后2、4周Barthel指数评分均高于同期对照组(P＜0.05).结论钻颅血肿抽吸术能够明显提高治疗的有效率、降低死亡率,同时改善了患者的ADL,是治疗高血压脑出血的有效方法 .
목적 탐토찬로혈종추흡술치료고혈압뇌출혈적림상료효.방법 188례고혈압뇌출혈환자수궤분위대조조화관찰조,매조94례,대조조채용내과보수치료,관찰조채용찬로혈종추흡술,비교량조적림상료효급술후일상생활능력(ADL).결과 관찰조치료적총유효솔명현고우대조조(P＜0.05).관찰조적사망솔명현저우대조조,량조비교차이유통계학의의(P＜0.05).량조치료후2、4주Barthel지수평분균교치료전명현승고(P＜0.05).관찰조치료후2、4주Barthel지수평분균고우동기대조조(P＜0.05).결론 찬로혈종추흡술능구명현제고치료적유효솔、강저사망솔,동시개선료환자적ADL,시치료고혈압뇌출혈적유효방법 .
Objective To analyze the clinical effect of intracranial hematoma by drilling skull in treatment with hypertensive brain hemorrhage.Methods 188 patients with hypertensive cerebral hemorrhage were classified into control group with 94 cases and traditional group with 94 cases.The control group were treated with conservative medicine and observation group were treated with intracranial hematoma by drilling skull.The clinical efficacy and defection score of nerves function were observed and compared between the two groups.Results The total effective rate in observation group was significantly higher than that in control group(P＜0.05) while the death rate in observation group was significantly lower than that in control group (P＜0.05),Compared with pre-treatment,after treatment 2 weeks and 4 weeks,the Barthel index in two groups were significantly increased(P＜0.05).Moreover,after treatment 2 weeks and 4 weeks,the Barthel index in observation group was significantly higher than that in control group(P＜0.05).Conclusion The intracranial hematoma by drilling skull can enhance effective rate,decrease death rate and improve the ADL ability.