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
18-19
,共2页
颅内压监测%去骨瓣减压%大面积脑梗死%病死率%ADL能力
顱內壓鑑測%去骨瓣減壓%大麵積腦梗死%病死率%ADL能力
로내압감측%거골판감압%대면적뇌경사%병사솔%ADL능력
Intracranial pressure monitoring%Decompress craniectomy%Extensive brain infarction%Mortality rate%ADL
目的:探讨颅内压监测下行去骨瓣减压治疗大面积脑梗死的临床意义。方法选取2008-04-2013-01入本科救治的大面积脑梗死患者69例,随机分为试验组和对照组,试验组35例颅内压监测下行去骨瓣减压治疗,对照组34例颅内压监测下行药物治疗。随访12个月,比较2组患者的病死率和ADL情况。结果试验组死亡3例,病死率8.57%,对照组死亡7例,病死率20.59%,2组比较差异有统计学意义( P<0.05);随访结果显示,试验组32例存活患者中23例(71.88%)中度功能缺陷,2例(6.25%)严重功能缺陷,7例(21.87%)轻度功能缺陷;对照组27例存活患者中13例(48.45%)中度功能缺陷,9例(33.33%)严重功能缺陷,5例(18.52%)轻度功能缺陷。2组比较差异均有统计学意义( P<0.05)。结论颅内压监测联合去骨瓣减压术治疗大面积脑梗死能降低患者的病死率,提高生存率,同时能提高患者后期生活质量。
目的:探討顱內壓鑑測下行去骨瓣減壓治療大麵積腦梗死的臨床意義。方法選取2008-04-2013-01入本科救治的大麵積腦梗死患者69例,隨機分為試驗組和對照組,試驗組35例顱內壓鑑測下行去骨瓣減壓治療,對照組34例顱內壓鑑測下行藥物治療。隨訪12箇月,比較2組患者的病死率和ADL情況。結果試驗組死亡3例,病死率8.57%,對照組死亡7例,病死率20.59%,2組比較差異有統計學意義( P<0.05);隨訪結果顯示,試驗組32例存活患者中23例(71.88%)中度功能缺陷,2例(6.25%)嚴重功能缺陷,7例(21.87%)輕度功能缺陷;對照組27例存活患者中13例(48.45%)中度功能缺陷,9例(33.33%)嚴重功能缺陷,5例(18.52%)輕度功能缺陷。2組比較差異均有統計學意義( P<0.05)。結論顱內壓鑑測聯閤去骨瓣減壓術治療大麵積腦梗死能降低患者的病死率,提高生存率,同時能提高患者後期生活質量。
목적:탐토로내압감측하행거골판감압치료대면적뇌경사적림상의의。방법선취2008-04-2013-01입본과구치적대면적뇌경사환자69례,수궤분위시험조화대조조,시험조35례로내압감측하행거골판감압치료,대조조34례로내압감측하행약물치료。수방12개월,비교2조환자적병사솔화ADL정황。결과시험조사망3례,병사솔8.57%,대조조사망7례,병사솔20.59%,2조비교차이유통계학의의( P<0.05);수방결과현시,시험조32례존활환자중23례(71.88%)중도공능결함,2례(6.25%)엄중공능결함,7례(21.87%)경도공능결함;대조조27례존활환자중13례(48.45%)중도공능결함,9례(33.33%)엄중공능결함,5례(18.52%)경도공능결함。2조비교차이균유통계학의의( P<0.05)。결론로내압감측연합거골판감압술치료대면적뇌경사능강저환자적병사솔,제고생존솔,동시능제고환자후기생활질량。
Objective To discuss the effect of intracranial pressure monitoring combined with decompress craniectomy in the treatment of extensive brain infarction.Methods 69 patients with extensive brain infarction treated in our partment from A-pril 2008 to January 2013 were selected and randomly divided into test group and control group ,35 patients in test group were given intracranial pressure monitoring combined decompressive craniectomy ,and 34 patients in control group were given in-tracranial pressure monitoring combined with drug treatment. Follow-up for 12 months ,mortality and ADL of patients in two groups were compared.Results 3 patients died in the test group ,the mortality rate was 8.57% ;7 cases died in control group ,the mortality rate was 20.59% ,the difference between two groups was statistically significant (P<0.05);after follow-up , 23 (71.88% ) cases were moderate disability in the 32 patients survived from test group ,2 (6.25% ) cases were severe disabil-ity and 7 (21.87% ) cases were mild disability ;13 (48.45% ) cases were moderate disability in the 27 patients survived from control group ,9 (33.33% ) cases were severe disability and 5 (18.52% ) cases were mild disability. two groups with ,the difference in moderate disability and severe disability between two groups was statistical significant (P<0.05).Conclusion Decompressive craniectomy in treatment of patients with extensive brain infarction can reduce the mortality ,improve the sur-vival rate ,and also improve the quality of life of the late stage.