中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
6期
944-945,947
,共3页
双侧侧脑室前角软通道置管引流%尿激酶%高血压丘脑出血
雙側側腦室前角軟通道置管引流%尿激酶%高血壓丘腦齣血
쌍측측뇌실전각연통도치관인류%뇨격매%고혈압구뇌출혈
Bilateral lateral anterior horn soft channel catheter drainage%Urokinase%Hypertensive thalamic hemorrhage
目的：探讨双侧侧脑室前角软通道置管引流联合尿激酶治疗高血压丘脑出血破入脑室患者的临床疗效。方法：我院收治的80例高血压丘脑出血患者的临床资料，其中，观察组40例患者采用双侧侧脑室前角软通道置管引流联合尿激酶治疗，对照组40例采用单侧侧脑室前角软通道置管引流联合尿激酶治疗，比较两组患者的临床疗效。结果：治疗后，观察组患者的第3、4脑室通畅时间和拔出引流管时间明显低于对照组患者，且差异均具有统计学意义(P<0.05)，同时，观察组并发症发生率明显低于对照组患者，且差异有明显统计学意义(P<0.05)，观察组患者的ADL评分的效果良好百分率明显高于对照组，且差异有明显统计学意义(P<0.05)。结论：双侧侧脑室前角软通道置管引流联合尿激酶治疗高血压丘脑出血破入脑室具有十分显著的疗效，值得临床广泛推广和应用。
目的：探討雙側側腦室前角軟通道置管引流聯閤尿激酶治療高血壓丘腦齣血破入腦室患者的臨床療效。方法：我院收治的80例高血壓丘腦齣血患者的臨床資料，其中，觀察組40例患者採用雙側側腦室前角軟通道置管引流聯閤尿激酶治療，對照組40例採用單側側腦室前角軟通道置管引流聯閤尿激酶治療，比較兩組患者的臨床療效。結果：治療後，觀察組患者的第3、4腦室通暢時間和拔齣引流管時間明顯低于對照組患者，且差異均具有統計學意義(P<0.05)，同時，觀察組併髮癥髮生率明顯低于對照組患者，且差異有明顯統計學意義(P<0.05)，觀察組患者的ADL評分的效果良好百分率明顯高于對照組，且差異有明顯統計學意義(P<0.05)。結論：雙側側腦室前角軟通道置管引流聯閤尿激酶治療高血壓丘腦齣血破入腦室具有十分顯著的療效，值得臨床廣汎推廣和應用。
목적：탐토쌍측측뇌실전각연통도치관인류연합뇨격매치료고혈압구뇌출혈파입뇌실환자적림상료효。방법：아원수치적80례고혈압구뇌출혈환자적림상자료，기중，관찰조40례환자채용쌍측측뇌실전각연통도치관인류연합뇨격매치료，대조조40례채용단측측뇌실전각연통도치관인류연합뇨격매치료，비교량조환자적림상료효。결과：치료후，관찰조환자적제3、4뇌실통창시간화발출인류관시간명현저우대조조환자，차차이균구유통계학의의(P<0.05)，동시，관찰조병발증발생솔명현저우대조조환자，차차이유명현통계학의의(P<0.05)，관찰조환자적ADL평분적효과량호백분솔명현고우대조조，차차이유명현통계학의의(P<0.05)。결론：쌍측측뇌실전각연통도치관인류연합뇨격매치료고혈압구뇌출혈파입뇌실구유십분현저적료효，치득림상엄범추엄화응용。
Objective:To investigate the clinical efficacy of bilateral lateral ventricle angle soft channel catheter drainage combined with urokinase to treat high blood pressure thalamic hemorrhage into the ventricle.Methods:80 patients with hypertension thalamic hemorrhage included observation group of 40 patients with bilateral lateral anterior horn soft channel catheter drainage combined with urokinase therapy and control group of 40 patients with unilateral lateral ventricle the anterior horn soft channel catheter drainage combined with urokinase therapy. Results:After treatment,the patients of the observation group 3,4 ventricle patency time and pull out the drainage tube was significantly shorter in the control group patients,and the differences were statistically significant (P<0.05),while the observation group complications incidence significantly higher percentage of good results was significantly lower than the control group patients,and the difference was statistically significant (P<0.05),ADL scores of patients in the observation group was improved,and the difference was statistically significant (P<0.05). Conclusion:Bilateral lateral ventricle angle soft channel catheter drainage combined with urokinase to treat high blood pressure thalamic hemorrhage into the ventricle has a very significant effect and it is worthy of extensive promotion and application of the treatment of hypertension.
