CAJ | 학술논문

目的：探讨TCD诊断对高血压脑出血术后预后的价值。方法：2004年6月-2012年12月收治高血压脑出血患者75例，血肿量30～80 ml，分为颅内动脉狭窄组(A组)和正常组(B组)；各组均行微创或去骨瓣减压术，术后各组均给予脱水、止血、营养支持等治疗；术后3天、7天、15天计算水肿面积，采用ADL分级法评估6个月时神经功能恢复情况。结果：A组3天、7天、15天时水肿体积大于B组，差异有统计学意义(P＜0.05)；B组术后6个月ADL分级法评估神经功能恢复情况好于A组，差异有统计学意义(P＜0.05)。结论：术后颅内血管TCD诊断对预测高血压脑出血预后有一定临床价值。
목적：탐토TCD진단대고혈압뇌출혈술후예후적개치。방법：2004년6월-2012년12월수치고혈압뇌출혈환자75례，혈종량30～80 ml，분위로내동맥협착조(A조)화정상조(B조)；각조균행미창혹거골판감압술，술후각조균급여탈수、지혈、영양지지등치료；술후3천、7천、15천계산수종면적，채용ADL분급법평고6개월시신경공능회복정황。결과：A조3천、7천、15천시수종체적대우B조，차이유통계학의의(P＜0.05)；B조술후6개월ADL분급법평고신경공능회복정황호우A조，차이유통계학의의(P＜0.05)。결론：술후로내혈관TCD진단대예측고혈압뇌출혈예후유일정림상개치。
Objective:To investigate the effect of TCD diagnosis on the prognosis of hypertensive cerebral hemorrhage after surgery.Methods:75 cases with hypertensive cerebral hemorrhage from June 2004 to December 2012.The hematoma volume ranged from 30 to 80 ml.They were divided into the intracranial artery stenosis group(A group) and the normal group(B group).All of them were given the minimally invasive or decompressive craniectomy,and were given the dehydration,hemostatic,nutritional support treatment after the operation.We calculated the edema area for 3 days,7 days,15 days after operation,We assessed the recovery of neurological function after 6 months by ADL classification method.Results: The edema volume of 3 days,7 days,15 days in the A group were longer than that in the B group,and The difference was statistically significant (P<0.05).The June ADL classification method to assess the recovery of nerve function in B group is better than that of the A group,and The difference was statistically significant (P<0.05).Conclusion:The diagnosis of intracranial vascular TCD after the operation has a certain clinical value on the prediction of prognosis of patients with hypertensive intracerebral hemorrhage.