中国药师
中國藥師
중국약사
CHINA PHARMACIST
2015年
2期
253-255
,共3页
李亚丰%叶科%叶晓挺%章剑坚%王端步
李亞豐%葉科%葉曉挺%章劍堅%王耑步
리아봉%협과%협효정%장검견%왕단보
立体定向血肿抽吸术%抗血栓药物%脑出血
立體定嚮血腫抽吸術%抗血栓藥物%腦齣血
입체정향혈종추흡술%항혈전약물%뇌출혈
Stereotactic hematoma aspiration%Antithrombotic drugs%Cerebral hemorrhage
目的：：观察立体定向血肿抽吸术联合药物治疗抗血栓药物所致脑出血的临床疗效。方法：66例因抗血栓药物致脑出血患者随机分为对照组与观察组各33例。对照组根据患者脑出血致病原因采用对应药物治疗；观察组在对照组基础上再给予立体定向血肿抽吸术治疗。比较两组患者治疗前、后日常生活能力、神经功能缺损评分( NIHSS)及预后改善等情况。结果：治疗后,观察组NIHSS评分为(10.17±2.97)分,Barthel指数评分为(59.97±12.10)分,均明显优于对照组(P<0.05)。且观察组预后有效率也明显高于对照组(P<0.05)。两组患者均未发生严重不良反应。结论：针对不同药物致脑出血患者采用对应药物治疗,并实施立体定向血肿抽吸术治疗,可有效改善患者神经功能缺损和日常生活能力,进而改善患者预后,且较为安全。
目的：：觀察立體定嚮血腫抽吸術聯閤藥物治療抗血栓藥物所緻腦齣血的臨床療效。方法：66例因抗血栓藥物緻腦齣血患者隨機分為對照組與觀察組各33例。對照組根據患者腦齣血緻病原因採用對應藥物治療；觀察組在對照組基礎上再給予立體定嚮血腫抽吸術治療。比較兩組患者治療前、後日常生活能力、神經功能缺損評分( NIHSS)及預後改善等情況。結果：治療後,觀察組NIHSS評分為(10.17±2.97)分,Barthel指數評分為(59.97±12.10)分,均明顯優于對照組(P<0.05)。且觀察組預後有效率也明顯高于對照組(P<0.05)。兩組患者均未髮生嚴重不良反應。結論：針對不同藥物緻腦齣血患者採用對應藥物治療,併實施立體定嚮血腫抽吸術治療,可有效改善患者神經功能缺損和日常生活能力,進而改善患者預後,且較為安全。
목적：：관찰입체정향혈종추흡술연합약물치료항혈전약물소치뇌출혈적림상료효。방법：66례인항혈전약물치뇌출혈환자수궤분위대조조여관찰조각33례。대조조근거환자뇌출혈치병원인채용대응약물치료；관찰조재대조조기출상재급여입체정향혈종추흡술치료。비교량조환자치료전、후일상생활능력、신경공능결손평분( NIHSS)급예후개선등정황。결과：치료후,관찰조NIHSS평분위(10.17±2.97)분,Barthel지수평분위(59.97±12.10)분,균명현우우대조조(P<0.05)。차관찰조예후유효솔야명현고우대조조(P<0.05)。량조환자균미발생엄중불량반응。결론：침대불동약물치뇌출혈환자채용대응약물치료,병실시입체정향혈종추흡술치료,가유효개선환자신경공능결손화일상생활능력,진이개선환자예후,차교위안전。
Objective:To observe the effect of stereotactic aspiration combined with corresponding drug therapy in the treatment of cerebral hemorrhage induced by different drugs. Methods:Totally 66 patients with hemorrhage induced by antithrombotic drugs were randomly divided into the control group and the treatment group with 33 cases in each. The control group was given corresponding drug therapy according to the pathogenesis of cerebral hemorrhage, and the treatment group was treated by stereotactic hematoma aspiration additionally. Daily life ability, NIHSS and prognosis improvement were compared between the two groups before and after the treat-ment. Results:After the treatment, NIHSS of the treatment group was ( 10. 17 ± 2. 97 ) and Barthel index score was ( 59. 97 ± 12. 10), which were both better than those of the control group (P<0. 05). The prognosis of the treatment group was also better than that of the control group (P<0. 05). There was no severe adverse drug reaction in the two groups. Conclusion:For different drug in-duced cerebral hemorrhage, corresponding drug therapy should be carried out, and combining with stereotactic hematoma aspiration, the therapeutic regimen can effectively improve neurological deficits and activities of daily living of the patients, and then improve the prognosis of the patients with promising safety.
