中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
4期
13-14
,共2页
改良小骨窗%高血压%基底节区脑出血%效果
改良小骨窗%高血壓%基底節區腦齣血%效果
개량소골창%고혈압%기저절구뇌출혈%효과
Improved small bone window%Hypertension%Basal ganglia hemorrhage%Effect
目的 探讨在高血压基底节区脑出血治疗中应用改良小骨窗术的临床疗效及安全性.方法 选取2011年4月至2013年4月运城市中心医院心脑血管科门诊收治的82例高血压基底节区脑出血患者作为研究对象,随机分为实验组和对照组,实验组采用改良小骨窗手术治疗,对照组实施传统的小骨窗手术.比较两组术后的血肿清除效果并评价生活能力.结果 实验组42例患者中32例全部清除,7例大部分清除,总有效率为92.9％,死亡3例;对照组40例患者中21例全部清除,12例大部分清除,总有效率为82.5％,死亡7例.两组上述指标比较差异有统计学意义(P＜0.05).术后随访实验组总体治疗效果显著优于对照组(P＜0.05).结论 改良小骨窗手术治疗高血压基底节区脑出血疗效确切,安全可靠,并发症少,能明显改善患者术后生存质量,值得临床推广应用.
目的 探討在高血壓基底節區腦齣血治療中應用改良小骨窗術的臨床療效及安全性.方法 選取2011年4月至2013年4月運城市中心醫院心腦血管科門診收治的82例高血壓基底節區腦齣血患者作為研究對象,隨機分為實驗組和對照組,實驗組採用改良小骨窗手術治療,對照組實施傳統的小骨窗手術.比較兩組術後的血腫清除效果併評價生活能力.結果 實驗組42例患者中32例全部清除,7例大部分清除,總有效率為92.9％,死亡3例;對照組40例患者中21例全部清除,12例大部分清除,總有效率為82.5％,死亡7例.兩組上述指標比較差異有統計學意義(P＜0.05).術後隨訪實驗組總體治療效果顯著優于對照組(P＜0.05).結論 改良小骨窗手術治療高血壓基底節區腦齣血療效確切,安全可靠,併髮癥少,能明顯改善患者術後生存質量,值得臨床推廣應用.
목적 탐토재고혈압기저절구뇌출혈치료중응용개량소골창술적림상료효급안전성.방법 선취2011년4월지2013년4월운성시중심의원심뇌혈관과문진수치적82례고혈압기저절구뇌출혈환자작위연구대상,수궤분위실험조화대조조,실험조채용개량소골창수술치료,대조조실시전통적소골창수술.비교량조술후적혈종청제효과병평개생활능력.결과 실험조42례환자중32례전부청제,7례대부분청제,총유효솔위92.9％,사망3례;대조조40례환자중21례전부청제,12례대부분청제,총유효솔위82.5％,사망7례.량조상술지표비교차이유통계학의의(P＜0.05).술후수방실험조총체치료효과현저우우대조조(P＜0.05).결론 개량소골창수술치료고혈압기저절구뇌출혈료효학절,안전가고,병발증소,능명현개선환자술후생존질량,치득림상추엄응용.
Objective To investigate the clinical efficacy and safety of improved small bone window operation in treatment of hypertensive cerebral hemorrhage in basal ganglia for patients with hypertension.Methods Eighty-two patients with hypertensive cerebral hemorrhage in basal ganglia from April 2011 to April 2013 in Yuncheng central hospital were selected as research subjects.All patients were randomly divided into experimental group and control group; the experimental group were treated with improved surgical of small bone window,and the control group received traditional small bone flap surgery.The effects of the two groups and postoperative hematoma viability was compared.Results Among the 42 patients in experimental group,32 cases had thorough clearance,7 cases mostly clearance,and the total efficiency was 92.9％,3 cases died; Among the 40 patients in control group,21 cases had thorough clearance,12 cases mostly clearance,and the total effective rate was 82.5％,7 cases died.Differences in the two groups was statistically significant above index contrast (P ＜ 0.05).The overall postoperative follow-up treatment effect in the experimental group was significantly better than that in the control group (P ＜ 0.05).Conclusions Improved small bone window surgical treatment of hypertensive basal ganglia hemorrhage is effective,safe and reliable with fewer complications,so it can significantly improve the quality of life of patients and is worthy of research and promotion.
