检验医学与临床
檢驗醫學與臨床
검험의학여림상
JOURNAL OF LABORATORY MEDICINE AND CLINICAL SCIENCES
2014年
11期
1485-1486,1489
,共3页
张正勇%李乾国%赵礼彬%余传杰
張正勇%李乾國%趙禮彬%餘傳傑
장정용%리건국%조례빈%여전걸
高血压脑出血%术式%近期疗效%远期预后
高血壓腦齣血%術式%近期療效%遠期預後
고혈압뇌출혈%술식%근기료효%원기예후
hypertension intracerebral hemorrhage%Operation%the recent curative effect%long-term prognosis
目的:探讨不同术式超早期治疗高血压脑出血的近期疗效与中远期预后效果。方法将247例高血压脑出血患者分为A、B、C3组,分别采用血肿穿刺抽吸引流术、小骨窗开颅手术以及大骨瓣开颅手术进行治疗。结果组间比较A、B、C3组患者的术后1个月存活率,A组略高于B组与C组,但两两比较差异均无统计学意义(χ2AB =0.276,PAB=0.814;χ2AC =0.312,PAC =0.665;χ2BC =0.283,PBC =0.802);组间比较A、B、C 3组患者的术后6月的日常生活能力(ADL )分级情况,A组(60.5%)显著优于B组(36.6%)和C组(31.6%),进行组间比较,差异均有统计学意义(χ2AB =7.906,PAB =0.027;χ2AC =8.114,PAC =0.016),B组与C组比较差异无统计学意义(χ2BC =0.147,PBC =0.933)。结论临床针对高血压脑出血患者应首先考虑血肿穿刺引流辅助开颅血肿清除术。
目的:探討不同術式超早期治療高血壓腦齣血的近期療效與中遠期預後效果。方法將247例高血壓腦齣血患者分為A、B、C3組,分彆採用血腫穿刺抽吸引流術、小骨窗開顱手術以及大骨瓣開顱手術進行治療。結果組間比較A、B、C3組患者的術後1箇月存活率,A組略高于B組與C組,但兩兩比較差異均無統計學意義(χ2AB =0.276,PAB=0.814;χ2AC =0.312,PAC =0.665;χ2BC =0.283,PBC =0.802);組間比較A、B、C 3組患者的術後6月的日常生活能力(ADL )分級情況,A組(60.5%)顯著優于B組(36.6%)和C組(31.6%),進行組間比較,差異均有統計學意義(χ2AB =7.906,PAB =0.027;χ2AC =8.114,PAC =0.016),B組與C組比較差異無統計學意義(χ2BC =0.147,PBC =0.933)。結論臨床針對高血壓腦齣血患者應首先攷慮血腫穿刺引流輔助開顱血腫清除術。
목적:탐토불동술식초조기치료고혈압뇌출혈적근기료효여중원기예후효과。방법장247례고혈압뇌출혈환자분위A、B、C3조,분별채용혈종천자추흡인류술、소골창개로수술이급대골판개로수술진행치료。결과조간비교A、B、C3조환자적술후1개월존활솔,A조략고우B조여C조,단량량비교차이균무통계학의의(χ2AB =0.276,PAB=0.814;χ2AC =0.312,PAC =0.665;χ2BC =0.283,PBC =0.802);조간비교A、B、C 3조환자적술후6월적일상생활능력(ADL )분급정황,A조(60.5%)현저우우B조(36.6%)화C조(31.6%),진행조간비교,차이균유통계학의의(χ2AB =7.906,PAB =0.027;χ2AC =8.114,PAC =0.016),B조여C조비교차이무통계학의의(χ2BC =0.147,PBC =0.933)。결론림상침대고혈압뇌출혈환자응수선고필혈종천자인류보조개로혈종청제술。
Objective to explore the super early treatment effect of different operative methods to the recent efficacy and long-term prognosis of hypertensive cerebral hemorrhage .Methods 247 patients with hypertensive cere-bral hemorrhage was divided into three groups A ,B ,C ,respectively ,using hematoma puncture pumping attract flow , small bone window craniotomy surgery and big bone flap craniotomy surgery for treatment .Results A group surviv-al rate of patients after one month treatment was slightly higher than that of group B and group C ,but there is no sta-tistical significance(χ2AB =0 .276 ,PAB =0 .814 ;χ2AC =0 .312 ,PAC =0 .665;χ2BC =0 .283 ,PBC =0 .802);between group A and B ,C of three groups of patients with six months postoperative statistics by ADL grading situation of crop ,its of A group (60 .5% ) was significantly better than that of group B(36 .6% ) and group C(31 .6% ) ,there was statistical significance(χ2AB =7 .906 ,PAB =0 .027 ;χ2AC =8 .114 ,PAC =0 .016) ,while that of group B compared with its of group C ,there was no statistical significance(χ2BC =0 .147 ,PBC =0 .933) .Conclusion Removal of hematoma puncture drain-age of auxiliary craniotomy hematoma should be the first application for Cerebral hemorrhage .