中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
35期
23-24
,共2页
微创穿刺术%大量脑出血%临床应用
微創穿刺術%大量腦齣血%臨床應用
미창천자술%대량뇌출혈%림상응용
Minimally invasive paracentesis%Mass cerebral hemorrhage%Clinical application
目的：探讨微创穿刺术在大量脑出血患者治疗中的应用效果。方法大量脑出血患者70例，随机分为观察组和对照组，各35例。观察组患者应用微创穿刺术进行治疗，对照组患者采用调控血压、甘露醇脱水等保守治疗，对比两组患者治疗后的临床效果、病死率。结果观察组总有效率为74.3%(26/35)，对照组总有效率为57.1%(20/35)，两组比较差异具有统计学意义(P<0.05)；观察组死亡8例，对照组死亡15例，差异具有统计学意义(P<0.01)。结论微创穿刺术治疗大量脑出血具有显著的应用价值，可有效降低病死率，提高治疗效果，且安全方便，值得推广。
目的：探討微創穿刺術在大量腦齣血患者治療中的應用效果。方法大量腦齣血患者70例，隨機分為觀察組和對照組，各35例。觀察組患者應用微創穿刺術進行治療，對照組患者採用調控血壓、甘露醇脫水等保守治療，對比兩組患者治療後的臨床效果、病死率。結果觀察組總有效率為74.3%(26/35)，對照組總有效率為57.1%(20/35)，兩組比較差異具有統計學意義(P<0.05)；觀察組死亡8例，對照組死亡15例，差異具有統計學意義(P<0.01)。結論微創穿刺術治療大量腦齣血具有顯著的應用價值，可有效降低病死率，提高治療效果，且安全方便，值得推廣。
목적：탐토미창천자술재대량뇌출혈환자치료중적응용효과。방법대량뇌출혈환자70례，수궤분위관찰조화대조조，각35례。관찰조환자응용미창천자술진행치료，대조조환자채용조공혈압、감로순탈수등보수치료，대비량조환자치료후적림상효과、병사솔。결과관찰조총유효솔위74.3%(26/35)，대조조총유효솔위57.1%(20/35)，량조비교차이구유통계학의의(P<0.05)；관찰조사망8례，대조조사망15례，차이구유통계학의의(P<0.01)。결론미창천자술치료대량뇌출혈구유현저적응용개치，가유효강저병사솔，제고치료효과，차안전방편，치득추엄。
Objective To explore the application effect of minimally invasive paracentesis in the treatment of mass cerebral hemorrhage.Methods A total of 70 mass cerebral hemorrhage patients were randomly divided into observation group and control group, with 35 cases in each group. The observation group received minimally invasive paracentesis, and the control group received conventional therapy, such as blood pressure regulation and mannitol dehydration. Comparisons were made on the clinical effects and mortality between the two groups.Results The total effective rate of the observation group was 74.3% (26/35), and that of the control group was 57.1% (20/35). There was statistically significant difference between the two groups (P<0.05). There were 8 death cases in the observation group, and 15 in the control group. The difference had statistical significance (P<0.01).Conclusion Minimally invasive paracentesis in the treatment of mass cerebral hemorrhage has significant application value, and it can effectively reduce mortality and improve curative effects. This procedure is safe and convenient, and is worthy of promotion.
