转化医学电子杂志
轉化醫學電子雜誌
전화의학전자잡지
2015年
1期
104-105,108
,共3页
锥颅穿刺术%高血压脑出血%临床效果
錐顱穿刺術%高血壓腦齣血%臨床效果
추로천자술%고혈압뇌출혈%림상효과
craniopuncture%hypertensive cerebral hemorrhage%clinical effects
目的：探讨在中重度高血压脑出血患者中应用锥颅穿刺术的临床效果及安全性．方法：选取2011／2013我院接治的48例中重度高血压脑出血患者作为本次研究的对象，并以随机数字表法原则将其分成两组，每组24例，将其中实施传统小骨窗开颅血肿清除术治疗者归为对照组，将实施微创锥颅穿刺术治疗者归为观察组．比较并评估两组病例的临床治疗结局，主要包括临床疗效、手术时间、拔管时间、住院天数以及格拉斯哥预后评分量表（GOS）等指标，总结临床治疗经验．结果：观察组治疗后可取得83．3％的临床疗效，较之对照组的58．3％更为理想，比较差异明显（P ＜0．05）；并且观察组在手术时间、拔管时间以及住院天数等方面，要较对照组有优越性（P ＜0．05）．在 GOS 评分方面，观察组术后的 GOS 分值是（13．74±3．25）分，要较其术前的（8．47±1．69）分和对照组的（11．02±4．79）分更为理想，比较差异明显（P ＜0．05）．结论：为中重度高血压脑出血患者实施微创锥颅穿刺术治疗有确切效果，并且利于缩短手术时间及住院时间，短期预后效果更好，适合在今后的临床上普及应用．
目的：探討在中重度高血壓腦齣血患者中應用錐顱穿刺術的臨床效果及安全性．方法：選取2011／2013我院接治的48例中重度高血壓腦齣血患者作為本次研究的對象，併以隨機數字錶法原則將其分成兩組，每組24例，將其中實施傳統小骨窗開顱血腫清除術治療者歸為對照組，將實施微創錐顱穿刺術治療者歸為觀察組．比較併評估兩組病例的臨床治療結跼，主要包括臨床療效、手術時間、拔管時間、住院天數以及格拉斯哥預後評分量錶（GOS）等指標，總結臨床治療經驗．結果：觀察組治療後可取得83．3％的臨床療效，較之對照組的58．3％更為理想，比較差異明顯（P ＜0．05）；併且觀察組在手術時間、拔管時間以及住院天數等方麵，要較對照組有優越性（P ＜0．05）．在 GOS 評分方麵，觀察組術後的 GOS 分值是（13．74±3．25）分，要較其術前的（8．47±1．69）分和對照組的（11．02±4．79）分更為理想，比較差異明顯（P ＜0．05）．結論：為中重度高血壓腦齣血患者實施微創錐顱穿刺術治療有確切效果，併且利于縮短手術時間及住院時間，短期預後效果更好，適閤在今後的臨床上普及應用．
목적：탐토재중중도고혈압뇌출혈환자중응용추로천자술적림상효과급안전성．방법：선취2011／2013아원접치적48례중중도고혈압뇌출혈환자작위본차연구적대상，병이수궤수자표법원칙장기분성량조，매조24례，장기중실시전통소골창개로혈종청제술치료자귀위대조조，장실시미창추로천자술치료자귀위관찰조．비교병평고량조병례적림상치료결국，주요포괄림상료효、수술시간、발관시간、주원천수이급격랍사가예후평분량표（GOS）등지표，총결림상치료경험．결과：관찰조치료후가취득83．3％적림상료효，교지대조조적58．3％경위이상，비교차이명현（P ＜0．05）；병차관찰조재수술시간、발관시간이급주원천수등방면，요교대조조유우월성（P ＜0．05）．재 GOS 평분방면，관찰조술후적 GOS 분치시（13．74±3．25）분，요교기술전적（8．47±1．69）분화대조조적（11．02±4．79）분경위이상，비교차이명현（P ＜0．05）．결론：위중중도고혈압뇌출혈환자실시미창추로천자술치료유학절효과，병차리우축단수술시간급주원시간，단기예후효과경호，괄합재금후적림상상보급응용．
AIM:To investigate the clinical efficacy and safety in patients with severe hypertensive cerebral hemorrhage treated with craniopuncture.METHODS:48 cases with severe hyper-tensive cerebral hemorrhage were selected as the object of this study from 2011 to 2013,who were divided into two groups ran-domly with 24 cases each group.And the patients with traditional keyhole approach treatment were classified as the control group, while other patients who received the minimally invasive treatment of craniopuncture were classified as observation group.The clini-cal outcomes of two groups of patients were ompared and evalua-ted,including clinical efficacy,operation time,extubation time, hospital stays,Glasgow Outcome Rating Scale (GOS)and other indicators.Clinical experience were summarized.RESULTS:After treatment,the clinical efficacy could reach 83.3%,which was better than that in control group (58.3%),and the differ-ences was significant (P <0.05 );Operative time,extubation time and hospital stays of observation group were more superior to that in control group (P <0.05).GOS score in the observation group after treatment was (13.74 ±3.25)points,which was bet-ter than that of their preoperative (8.47 ±1.69)and that of con-trol group (11.02 ±4.79).Differences were significant (P <0.05).CONCLUSION:The minimally invasive treatment of craniopuncture in treatment of patients with severe hypertension cerebral hemorrhage has better effects,which could shorten the operation time and hospital stays,and has better short-term prog-nosis.It's good for universal application in future clinical.
