中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
28期
1-3,4
,共4页
立体定向%基底节%高血压%脑出血%尿激酶
立體定嚮%基底節%高血壓%腦齣血%尿激酶
입체정향%기저절%고혈압%뇌출혈%뇨격매
Stereotactic drainage%Basal ganglia%Hypertension%Intracerebral hemorrhage%Urokinase
目的：探讨CT引导下立体定向穿刺引流术治疗少量基底节高血压脑出血的疗效。方法：选取2010年10月-2013年12月在海洋石油总医院收治的70例基底节高血压脑出血患者，出血量20~30 mL，按照随机数字表法将其分为手术组治疗组和保守治疗组各35例，手术治疗组在CT引导下行立体定向穿刺引流术，术后应用尿激酶溶解清除血肿；保守治疗组仅给予内科药物治疗。观察比较两组患者的并发症发生情况、住院时间、治疗后NIHSS评分。结果：两组均无死亡病例，且并发症发生率比较差异无明显差异（11.4%vs 22.9%， P>0.05）。手术治疗组的住院时间（19.6±4.2）d明显短于保守治疗组的（23.3±5.3）d，两组治疗后2周、1个月、3个月的NIHSS评分均明显低于治疗前，且手术治疗组治疗后2周、1个月的NIHSS评分均明显低于保守治疗组，差异均有统计学意义（P<0.05），而两组治疗后3个月NIHSS评分比较差异无统计学意义（P>0.05）。结论：立体定向穿刺引流术治疗少量基底节高血压脑出血，创伤小，可以缩短患者住院时间，促进神经功能早期恢复，值得临床推广。
目的：探討CT引導下立體定嚮穿刺引流術治療少量基底節高血壓腦齣血的療效。方法：選取2010年10月-2013年12月在海洋石油總醫院收治的70例基底節高血壓腦齣血患者，齣血量20~30 mL，按照隨機數字錶法將其分為手術組治療組和保守治療組各35例，手術治療組在CT引導下行立體定嚮穿刺引流術，術後應用尿激酶溶解清除血腫；保守治療組僅給予內科藥物治療。觀察比較兩組患者的併髮癥髮生情況、住院時間、治療後NIHSS評分。結果：兩組均無死亡病例，且併髮癥髮生率比較差異無明顯差異（11.4%vs 22.9%， P>0.05）。手術治療組的住院時間（19.6±4.2）d明顯短于保守治療組的（23.3±5.3）d，兩組治療後2週、1箇月、3箇月的NIHSS評分均明顯低于治療前，且手術治療組治療後2週、1箇月的NIHSS評分均明顯低于保守治療組，差異均有統計學意義（P<0.05），而兩組治療後3箇月NIHSS評分比較差異無統計學意義（P>0.05）。結論：立體定嚮穿刺引流術治療少量基底節高血壓腦齣血，創傷小，可以縮短患者住院時間，促進神經功能早期恢複，值得臨床推廣。
목적：탐토CT인도하입체정향천자인류술치료소량기저절고혈압뇌출혈적료효。방법：선취2010년10월-2013년12월재해양석유총의원수치적70례기저절고혈압뇌출혈환자，출혈량20~30 mL，안조수궤수자표법장기분위수술조치료조화보수치료조각35례，수술치료조재CT인도하행입체정향천자인류술，술후응용뇨격매용해청제혈종；보수치료조부급여내과약물치료。관찰비교량조환자적병발증발생정황、주원시간、치료후NIHSS평분。결과：량조균무사망병례，차병발증발생솔비교차이무명현차이（11.4%vs 22.9%， P>0.05）。수술치료조적주원시간（19.6±4.2）d명현단우보수치료조적（23.3±5.3）d，량조치료후2주、1개월、3개월적NIHSS평분균명현저우치료전，차수술치료조치료후2주、1개월적NIHSS평분균명현저우보수치료조，차이균유통계학의의（P<0.05），이량조치료후3개월NIHSS평분비교차이무통계학의의（P>0.05）。결론：입체정향천자인류술치료소량기저절고혈압뇌출혈，창상소，가이축단환자주원시간，촉진신경공능조기회복，치득림상추엄。
Objective:To investigate the therapeutic effect of CT-guided stereotactic puncture and drainage in treatment of little hypertensive cerebral hemorrhage of basal ganglia.Method:70 patients with little hypertensive cerebral hemorrhage of basal ganglia in Ocean Petroleum General hospital from October 2010 to December 2013 were selected, the amount of bleeding was 20-30 mL,they were divided into the operation treatment group and conservative treatment group according to the random number table method,35 cases in each group.The operation treatment group was given CT-guided stereotactic puncture and drainage treatment,followed by thrombolysis using urokinase.The conservative treatment group was given internal medicine treatment alone.The incidence of complications,hospitalization days,NIHSS score of the two groups after the treatment were observed and compared.Result:There was no cases died,and no difference in the incidence of complications(11.4%vs 22.9%,P>0.05)in the two groups.The average hospitalization days in operation treatment group was(19.6±4.2)d,it was significantly shorter than(23.3±5.3)d in conservative treatment group, the NIHSS score 2 weeks,1 month,3 months after treatment of two groups were significantly lower than those of before treatment,and the the NIHSS score 2 weeks,1 month after treatment in operation treatment group were significantly lower than those in conservative treatment group,the differences were statistically significant(P<0.05).But there was no statistically significant difference in NIHSS score after 3 months between two groups(P>0.05).Conclusion:Stereotactic puncture and drainage in the treatment of little hemorrhage of basal ganglia caused by hypertension is effective,with little injury,shorter hospitalization days,which can promote rehabilitation of function in the early,is worthy of clinical promotion.
