CAJ | 학술논문

目的：探讨CT引导下血肿抽吸术在高血压脑出血中的临床应用。方法本次研究对象为我院2012-2013年2年间急诊科收治的高血压脑出血患者80例，患者均经头部CT检查证实为脑出血，急诊科接诊时患者收缩压＞180 mmHg。研究对象随机分组为对照组和观察组，每组患者各40例，对照组患者给予常规治疗，给予药物降低颅内压，给患者吸氧，静脉支持给予患者水电解质平衡，密切监视患者生命体征。观察组患者在对照组常规治疗的基础上，上行CT引导下脑内血肿抽吸术治疗。结果本次试验治疗组患者中，治愈20例（占50．0％）；好转18例（占45．0％）；无效2例（占5．0％）。对照组患者中，治愈10例（占25．0％），总有效率为95％；好转12例（占30．0％）；无效18例（占45．0％），总有效率为55％。治疗组患者的治愈率、好转率、总有效率均高于对照组，且P＜0．05具有统计学差异，对照组患者无效率明显高于对照组患者，且P＜0．05具有统计学差异。结论采用CT引导下血肿抽吸术治疗高血压脑出血，可明显提高患者的治疗效果，并且操作简单、创口小、患者恢复快，值得在临床中广泛推广。
목적：탐토CT인도하혈종추흡술재고혈압뇌출혈중적림상응용。방법본차연구대상위아원2012-2013년2년간급진과수치적고혈압뇌출혈환자80례，환자균경두부CT검사증실위뇌출혈，급진과접진시환자수축압＞180 mmHg。연구대상수궤분조위대조조화관찰조，매조환자각40례，대조조환자급여상규치료，급여약물강저로내압，급환자흡양，정맥지지급여환자수전해질평형，밀절감시환자생명체정。관찰조환자재대조조상규치료적기출상，상행CT인도하뇌내혈종추흡술치료。결과본차시험치료조환자중，치유20례（점50．0％）；호전18례（점45．0％）；무효2례（점5．0％）。대조조환자중，치유10례（점25．0％），총유효솔위95％；호전12례（점30．0％）；무효18례（점45．0％），총유효솔위55％。치료조환자적치유솔、호전솔、총유효솔균고우대조조，차P＜0．05구유통계학차이，대조조환자무효솔명현고우대조조환자，차P＜0．05구유통계학차이。결론채용CT인도하혈종추흡술치료고혈압뇌출혈，가명현제고환자적치료효과，병차조작간단、창구소、환자회복쾌，치득재림상중엄범추엄。
Objective To explore the clinical application of CT guided aspiration of hematoma in hypertensive cerebral hemorrhage .Methods The object of study of 80 patients in our hospital from 2012-2013 emergency department were hypertensive cerebral hemorrhage , patients were diagnosed by head CT examination confirmed the diagnosis of cerebral hemorrhage patients in emergency department admissions , systolic blood pressure of >180mmhg.Study subjects were randomly divided into control group and observation group , 40 cases of patients in each group , the control group were given routine treatment , giving the drugs to patients to reduce intracranial pressure , oxygen inhalation , intravenous support to patients of water and electrolyte balance , closely monitor the vital signs of patients .The observation group patients in the control group based on routine treatment , the uplink CT guided aspiration for intracerebral hematoma .Results The test patients in the treatment group , 20 cases were cured , 40 patients accounted for 50%;18 cases were improved , 45% of 40 patients; 2 cases are invalid, accounting for 5%of 40 patients, patients in the control group , cured 10 cases, accounting for 25% of 40 cases, the total effective rate was 95%;improved in 12 cases, accounting for 30% of 40 patients;18 cases are invalid, accounting for 45%of the 40 cases, the total effective rate was 55% in treatment group, the cure rate, improvement rate, total effective rate was higher than that of the control group , and the P <0.05 has significant difference , the patients in control group was significantly higher than that of control group were invalid , and P<0.05 have the difference of statistics .Conclusions The CT guided aspiration of hematoma in treatment of hypertensive cerebral hemorrhage , can significantly improve patient outcomes , and has the advantages of simple operation, small wound, fast recovery, is worthy of popularization in clinical practice .