中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
15期
116
,共1页
小骨窗开颅术%微创治疗%脑出血%高血压
小骨窗開顱術%微創治療%腦齣血%高血壓
소골창개로술%미창치료%뇌출혈%고혈압
Small bone window craniotomy%Minimally invasive treatment%Cerebral hemorrhage%Hypertension
目的:观察小骨窗开颅手术治疗高血压性脑出血的临床疗效.方法:采用对照研究的方法将65例高血压脑出血患者随机分为观察组35例和对照组30例.观察组行小骨窗开颅术治疗,对照组行内科保守治疗,观察并对比两组的临床疗效.结果:观察组治愈率及总有效率分别为28.6%和85.7%,明显高于对照组的13.3%和73.3%,比较差异均具有统计学意义(P<0.05);观察组术后神经功能NIHSS评分较术前显著降低,比较差异有统计学意义(P<0.05).结论:小骨窗开颅术治疗高血压性脑出血创伤小、疗效显著,可明显改善患者神经功能,值得临床推广应用.
目的:觀察小骨窗開顱手術治療高血壓性腦齣血的臨床療效.方法:採用對照研究的方法將65例高血壓腦齣血患者隨機分為觀察組35例和對照組30例.觀察組行小骨窗開顱術治療,對照組行內科保守治療,觀察併對比兩組的臨床療效.結果:觀察組治愈率及總有效率分彆為28.6%和85.7%,明顯高于對照組的13.3%和73.3%,比較差異均具有統計學意義(P<0.05);觀察組術後神經功能NIHSS評分較術前顯著降低,比較差異有統計學意義(P<0.05).結論:小骨窗開顱術治療高血壓性腦齣血創傷小、療效顯著,可明顯改善患者神經功能,值得臨床推廣應用.
목적:관찰소골창개로수술치료고혈압성뇌출혈적림상료효.방법:채용대조연구적방법장65례고혈압뇌출혈환자수궤분위관찰조35례화대조조30례.관찰조행소골창개로술치료,대조조행내과보수치료,관찰병대비량조적림상료효.결과:관찰조치유솔급총유효솔분별위28.6%화85.7%,명현고우대조조적13.3%화73.3%,비교차이균구유통계학의의(P<0.05);관찰조술후신경공능NIHSS평분교술전현저강저,비교차이유통계학의의(P<0.05).결론:소골창개로술치료고혈압성뇌출혈창상소、료효현저,가명현개선환자신경공능,치득림상추엄응용.
Objective:To observe the clinical efficacy of small bone window craniotomy for treatment of hypertensive cerebral hemorrhage. Method:65 patients with hypertensive cerebral hemorrhage were randomly divided into observation group of 35 patients and a control group of 30 patients. Observation group was treated by treatment of small bone window craniotomy,and control group conservative treatment. To observe and compare the clinical efficacy of the two groups. Result:The cure rate and total effective rate of observation group was 28.6%and 85.7%,which was significantly higher than the control group of 13.3%and 73.3%(P<0.05). The postoperative neurologic NIHSS score of observation group was significantly lower than the preoperative(P<0.05). Conclusion:Small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage is trauma,significantly effect, and can be significantly improved neurological function,worthy of clinical application.
