中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2014年
6期
23-25
,共3页
脑桥出血%立体定向微创术%活血利水醒脑中药
腦橋齣血%立體定嚮微創術%活血利水醒腦中藥
뇌교출혈%입체정향미창술%활혈이수성뇌중약
Pontine hemorrhage%Stereotactic minimally invasive surgery%Traditional Chinese medicine
目的：探讨立体定向微创术联合活血利水醒脑中药治疗脑桥出血的临床疗效。方法回顾性分析36例脑桥出血患者的临床资料，按治疗方式的不同分为2组各18例。对照组西医常规保守治疗，观察组立体定向微创置管、引流术＋活血利水醒脑中药＋西医常规治疗。观察对比指标包括清醒时间及清醒率、格拉斯哥预后评分（GOS ）及病死率、并发症发生率。结果观察组18例手术均获成功，无手术死亡病例，术后因肺部感染死亡2例，存活16例，病死率11.11％；对照组18例患者中存活1例，随访3个月后死亡，其他病例均于发病后14 d内死亡，平均死亡时间12.25 d ，病死率100％。观察组的GOS评分、清醒时间及清醒率优于对照组，且并发症发生率低于对照组，差异均有统计学意义（ P＜0.01）。结论采用立体定向微创术联合活血利水醒脑中药治疗脑桥出血疗效显著，值得临床推广。
目的：探討立體定嚮微創術聯閤活血利水醒腦中藥治療腦橋齣血的臨床療效。方法迴顧性分析36例腦橋齣血患者的臨床資料，按治療方式的不同分為2組各18例。對照組西醫常規保守治療，觀察組立體定嚮微創置管、引流術＋活血利水醒腦中藥＋西醫常規治療。觀察對比指標包括清醒時間及清醒率、格拉斯哥預後評分（GOS ）及病死率、併髮癥髮生率。結果觀察組18例手術均穫成功，無手術死亡病例，術後因肺部感染死亡2例，存活16例，病死率11.11％；對照組18例患者中存活1例，隨訪3箇月後死亡，其他病例均于髮病後14 d內死亡，平均死亡時間12.25 d ，病死率100％。觀察組的GOS評分、清醒時間及清醒率優于對照組，且併髮癥髮生率低于對照組，差異均有統計學意義（ P＜0.01）。結論採用立體定嚮微創術聯閤活血利水醒腦中藥治療腦橋齣血療效顯著，值得臨床推廣。
목적：탐토입체정향미창술연합활혈이수성뇌중약치료뇌교출혈적림상료효。방법회고성분석36례뇌교출혈환자적림상자료，안치료방식적불동분위2조각18례。대조조서의상규보수치료，관찰조입체정향미창치관、인류술＋활혈이수성뇌중약＋서의상규치료。관찰대비지표포괄청성시간급청성솔、격랍사가예후평분（GOS ）급병사솔、병발증발생솔。결과관찰조18례수술균획성공，무수술사망병례，술후인폐부감염사망2례，존활16례，병사솔11.11％；대조조18례환자중존활1례，수방3개월후사망，기타병례균우발병후14 d내사망，평균사망시간12.25 d ，병사솔100％。관찰조적GOS평분、청성시간급청성솔우우대조조，차병발증발생솔저우대조조，차이균유통계학의의（ P＜0.01）。결론채용입체정향미창술연합활혈이수성뇌중약치료뇌교출혈료효현저，치득림상추엄。
Objective To study the efficacy of stereotactic minimally invasive surgery combined with traditional Chinese medicine on pontine hemorrhage.Methods Clinical datas of 36 cases with pontine hemorrhage were retrospectively analysed and divided into two groups according to the different methods of treatment ,each group with 18 cases repectively.The control group recieved conventional western medicine treatment ;the observation group were given stereotactic minimally invasive sur-gery+ traditional Chinese medicine + routine western medicine treatment. Observation indexes include :waking time and sober rate ;Glasgow outcome score (GOS) and mortality ;complication rates.Results 18 cases in treatment group were successful , no surgical deaths ,2 cases died of pulmonary infection ,postoperative survival was 16 cases ,the mortality rate was 11.11% ;1 case survived in the control group ,died after 3 months ,other cases died within 14 days after onset ,the average death time was 12.25 days ,the mortality rate was 100%. The GOS score and awake time and rate of observation group were better than those of control group ,and the complication rate was lower than that of the control group ,the difference had statistical signifi-cance (P<0.05). Conclusion The efficacy of stereotactic minimally invasive surgery combined with traditional Chinese medi-cine on pontine hemorrhage is significant ,and is worth of clinical promotion.
