CAJ | 학술논문

目的：比较CT定向穿刺软通道技术及内科保守治疗老年患者中等血量高血压脑出血的疗效。方法：选择2011年10月-2013年9月笔者所在医院收治的62例符合纳入标准的单侧基底核区高血压脑出血患者，遵照知情同意原则随机分为软通道组30例和内科组32例，比较两组患者的再出血率、死亡率、住院时间及3个月随访致残率。结果：两组患者再出血率及随访3个月致残率组间比较差异无统计学意义(χ2=0.433， P>0.05；χ2=0.108，P>0.05)。两组患者病死率、住院时间组间比较差异有统计学意义(χ2=5.524，P<0.05；t=2.996，P<0.05)。结论：CT定向穿刺辅助软通道技术治疗老年患者中等血量高血压脑出血的临床疗效满意，能够提高患者生存率，缩短住院时间，且安全性可靠，具有较高的临床实用价值。
목적：비교CT정향천자연통도기술급내과보수치료노년환자중등혈량고혈압뇌출혈적료효。방법：선택2011년10월-2013년9월필자소재의원수치적62례부합납입표준적단측기저핵구고혈압뇌출혈환자，준조지정동의원칙수궤분위연통도조30례화내과조32례，비교량조환자적재출혈솔、사망솔、주원시간급3개월수방치잔솔。결과：량조환자재출혈솔급수방3개월치잔솔조간비교차이무통계학의의(χ2=0.433， P>0.05；χ2=0.108，P>0.05)。량조환자병사솔、주원시간조간비교차이유통계학의의(χ2=5.524，P<0.05；t=2.996，P<0.05)。결론：CT정향천자보조연통도기술치료노년환자중등혈량고혈압뇌출혈적림상료효만의，능구제고환자생존솔，축단주원시간，차안전성가고，구유교고적림상실용개치。
Objective:To compare transcranial puncture under CT locating and conservative management for elderly patients with moderate hypertensive intracerebral hemorrhage treatment.Method:Totally 62 cases diagnosed with basal ganglia hemorrhage and hospitalized author’s hospital from October 2011 to September 2013 patients in unilateral basal ganglia,follow the principle of informed consent and were randomly divided into transcranial puncture under CT locating group(n=30) and conservative treatment group(n=32).The recurrent rehemorrhage rate,mortality rate,average stay and disability rate 3 months after the procedure were observed.Result:Disability rate 3 months after the procedure and rehemorrhage rate were no significant difference between the two groups(χ2=0.108, P>0.05;χ2=0.433,P>0.05).Comparison between the two groups of mortality rate and average hospital stay had significant difference(χ2=5.524,P<0.05;t=2.996,P<0.05).Conclusion:Transcranial puncture under CT locating of elderly patients with moderate hypertensive intracerebral hemorrhage clinical curative effect satisfaction,can improve the patients survival rate,shorten the length of hospital stay,and is safe and reliable,and has high clinical practical value.