当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
20期
111-112
,共2页
软通道微创穿刺血肿清除术%急性脑出血%临床效果
軟通道微創穿刺血腫清除術%急性腦齣血%臨床效果
연통도미창천자혈종청제술%급성뇌출혈%림상효과
Soft-tube minimally invasive puncture hematoma aspiration%Acute cerebral hemorrhage%Clinical effect
目的：观察分析软通道微创穿刺血肿清除术治疗急性脑出血的临床效果。方法选取淮南新康医院在2012年10月～2013年9月收治的84例急性脑出血患者的临床资料进行研究分析，并按患者住院尾号将其均分为治疗组和对照组（n=42），对照组患者采用脱水、吸氧、止血、控制血压及防治并发症等措施进行常规保守治疗方法治疗，治疗组患者采用软通道微创穿刺血肿清除术进行治疗，对比2组患者治疗效果。结果对比2组患者治疗效果，治疗组患者治疗总有效率（90.48%）显著优于对照组患者的总有效率（69.05%），有统计学意义（P＜0.05）；对比2组患者治疗前颅内血肿量，治疗组患者为（55.56±6.12）mL，对照组患者为（55.24±5.67）mL，差异无统计学意义；治疗后2组患者颅内血肿量[（7.13±2.71）mL、（20.24±5.42）mL]显著低于治疗前的[(55.56±6.12)mL、(55.24±5.67)mL]，差异有统计学意义（P＜0.05）；组间对比，治疗组患者治疗后颅内血肿量（7.13±2.71）mL显著低于对照组患者的（20.24±5.42）mL，差异有统计学意义（P＜0.05）。结论软通道微创穿刺血肿清除术在治疗急性脑出血的临床上效果显著，提高患者生活质量，值得推广应用。
目的：觀察分析軟通道微創穿刺血腫清除術治療急性腦齣血的臨床效果。方法選取淮南新康醫院在2012年10月～2013年9月收治的84例急性腦齣血患者的臨床資料進行研究分析，併按患者住院尾號將其均分為治療組和對照組（n=42），對照組患者採用脫水、吸氧、止血、控製血壓及防治併髮癥等措施進行常規保守治療方法治療，治療組患者採用軟通道微創穿刺血腫清除術進行治療，對比2組患者治療效果。結果對比2組患者治療效果，治療組患者治療總有效率（90.48%）顯著優于對照組患者的總有效率（69.05%），有統計學意義（P＜0.05）；對比2組患者治療前顱內血腫量，治療組患者為（55.56±6.12）mL，對照組患者為（55.24±5.67）mL，差異無統計學意義；治療後2組患者顱內血腫量[（7.13±2.71）mL、（20.24±5.42）mL]顯著低于治療前的[(55.56±6.12)mL、(55.24±5.67)mL]，差異有統計學意義（P＜0.05）；組間對比，治療組患者治療後顱內血腫量（7.13±2.71）mL顯著低于對照組患者的（20.24±5.42）mL，差異有統計學意義（P＜0.05）。結論軟通道微創穿刺血腫清除術在治療急性腦齣血的臨床上效果顯著，提高患者生活質量，值得推廣應用。
목적：관찰분석연통도미창천자혈종청제술치료급성뇌출혈적림상효과。방법선취회남신강의원재2012년10월～2013년9월수치적84례급성뇌출혈환자적림상자료진행연구분석，병안환자주원미호장기균분위치료조화대조조（n=42），대조조환자채용탈수、흡양、지혈、공제혈압급방치병발증등조시진행상규보수치료방법치료，치료조환자채용연통도미창천자혈종청제술진행치료，대비2조환자치료효과。결과대비2조환자치료효과，치료조환자치료총유효솔（90.48%）현저우우대조조환자적총유효솔（69.05%），유통계학의의（P＜0.05）；대비2조환자치료전로내혈종량，치료조환자위（55.56±6.12）mL，대조조환자위（55.24±5.67）mL，차이무통계학의의；치료후2조환자로내혈종량[（7.13±2.71）mL、（20.24±5.42）mL]현저저우치료전적[(55.56±6.12)mL、(55.24±5.67)mL]，차이유통계학의의（P＜0.05）；조간대비，치료조환자치료후로내혈종량（7.13±2.71）mL현저저우대조조환자적（20.24±5.42）mL，차이유통계학의의（P＜0.05）。결론연통도미창천자혈종청제술재치료급성뇌출혈적림상상효과현저，제고환자생활질량，치득추엄응용。
Objective To observe the soft channel of minimally invasive puncture hematoma removal effect of clinical treatment of acute cerebral hemorrhage. Methods Selected 84 cases of patients with acute cerebral hemorrhage in our hospital from October 2012 to September 2013 and study the clinical data analysis. According to the patients in hospital and private it can be divided into the treatment group and control group (n=42).Control group were treated by dehydration, oxygen, hemostasis, blood pressure control and the prevention and treatment of complications such as measures to conventional conservative treatment methods of treatment.Treatment group were treated by soft channel of minimally invasive puncture haematoma elimination treatment. Compared two groups of patients with therapeutic effect. Results Compared two groups of patients with therapeutic effect, total effective rate of treatment group patients (90.48%) which was significantly better than the control group (69.05%), they had statistical significance (P<0.05);Comparing two groups of patients before treatment of intracranial hematoma volume, the treatment group patients for (55.56±6.12) mL, the control group patients for (55.24±5.67) mL, there were no statistical significance between them;The two groups after treatment in patients with intracranial hematoma volume (7.13±2.71 ) mL and(2.71±5.42) mL significantly lower than before treatment (55.56±6.12) mL and(6.12±5.67) mL,there were statistically significant between them (P<0.05);Compared the two groups, the treatment group after treatment in patients with intracranial hematoma volume (7.13±2.71) mL was significantly lower than control group patients (20.24±5.42) mL that had statistical significance. Conclusion Removal of soft channel of minimally invasive puncture hematoma in the treatment of acute cerebral hemorrhage in clinical effect is remarkable and improve patient quality of life that is be worthly of popularization and application.
