医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2015年
2期
143-144,148
,共3页
高血压脑出血%骨瓣开颅%钻孔引流
高血壓腦齣血%骨瓣開顱%鑽孔引流
고혈압뇌출혈%골판개로%찬공인류
Hypertensive cerebral hemorrhage%Bone flap craniotomy%Trepanation and drainage
目的:为了探究临床不同手术治疗方式对于高血压脑出血的临床实际治疗效果,从而为高血压脑出血的相关研究和临床实践提供依据和参考。方法:本次研究所选取的对象均为我院2009年1月-2012年1月期间收治的高血压脑出血患者,共计72例。根据所采用的手术方法不同,对患者进行分组,分成骨瓣开颅组和钻孔引流组。观察并比较两组研究对象实施不同手术治疗方法后1周内恢复意识情况、2周内发生并发症情况以及手术24h后GCS评分和手术1个月后FAM评分结果。结果:(1)在1周内意识恢复效果上组间比较,钻孔引流组的意识恢复效果明显优于骨瓣开颅组,且差异具有显著的统计学意义(χ2=4.5997,P=0.0320);在2周内并发症发生情况上组间比较,钻孔引流组患者的并发症发生情况明显少于骨瓣开颅组,且差异具有显著的统计学意义(χ2=4.9634,P=0.0259);(2)在患者实施手术治疗24h后的GCS评分结果上,组间比较,钻孔引流组患者的GCS评分结果明显优于骨瓣开颅组,且差异具有显著的统计学意义(t=2.1543,P=0.0347);在患者实施手术治疗1个月后的 FAM 评分结果上,组间比较,钻孔引流组患者的 FAM 评分结果明显优于骨瓣开颅组,且差异具有显著的统计学意义(t=6.136,P=0.0000)。结论:在临床针对高血压脑出血患者实施治疗的实践过程中,采用钻孔引流手术方式的临床效果显著,是临床针对高血压脑出血患者实施治疗的可靠选择。
目的:為瞭探究臨床不同手術治療方式對于高血壓腦齣血的臨床實際治療效果,從而為高血壓腦齣血的相關研究和臨床實踐提供依據和參攷。方法:本次研究所選取的對象均為我院2009年1月-2012年1月期間收治的高血壓腦齣血患者,共計72例。根據所採用的手術方法不同,對患者進行分組,分成骨瓣開顱組和鑽孔引流組。觀察併比較兩組研究對象實施不同手術治療方法後1週內恢複意識情況、2週內髮生併髮癥情況以及手術24h後GCS評分和手術1箇月後FAM評分結果。結果:(1)在1週內意識恢複效果上組間比較,鑽孔引流組的意識恢複效果明顯優于骨瓣開顱組,且差異具有顯著的統計學意義(χ2=4.5997,P=0.0320);在2週內併髮癥髮生情況上組間比較,鑽孔引流組患者的併髮癥髮生情況明顯少于骨瓣開顱組,且差異具有顯著的統計學意義(χ2=4.9634,P=0.0259);(2)在患者實施手術治療24h後的GCS評分結果上,組間比較,鑽孔引流組患者的GCS評分結果明顯優于骨瓣開顱組,且差異具有顯著的統計學意義(t=2.1543,P=0.0347);在患者實施手術治療1箇月後的 FAM 評分結果上,組間比較,鑽孔引流組患者的 FAM 評分結果明顯優于骨瓣開顱組,且差異具有顯著的統計學意義(t=6.136,P=0.0000)。結論:在臨床針對高血壓腦齣血患者實施治療的實踐過程中,採用鑽孔引流手術方式的臨床效果顯著,是臨床針對高血壓腦齣血患者實施治療的可靠選擇。
목적:위료탐구림상불동수술치료방식대우고혈압뇌출혈적림상실제치료효과,종이위고혈압뇌출혈적상관연구화림상실천제공의거화삼고。방법:본차연구소선취적대상균위아원2009년1월-2012년1월기간수치적고혈압뇌출혈환자,공계72례。근거소채용적수술방법불동,대환자진행분조,분성골판개로조화찬공인류조。관찰병비교량조연구대상실시불동수술치료방법후1주내회복의식정황、2주내발생병발증정황이급수술24h후GCS평분화수술1개월후FAM평분결과。결과:(1)재1주내의식회복효과상조간비교,찬공인류조적의식회복효과명현우우골판개로조,차차이구유현저적통계학의의(χ2=4.5997,P=0.0320);재2주내병발증발생정황상조간비교,찬공인류조환자적병발증발생정황명현소우골판개로조,차차이구유현저적통계학의의(χ2=4.9634,P=0.0259);(2)재환자실시수술치료24h후적GCS평분결과상,조간비교,찬공인류조환자적GCS평분결과명현우우골판개로조,차차이구유현저적통계학의의(t=2.1543,P=0.0347);재환자실시수술치료1개월후적 FAM 평분결과상,조간비교,찬공인류조환자적 FAM 평분결과명현우우골판개로조,차차이구유현저적통계학의의(t=6.136,P=0.0000)。결론:재림상침대고혈압뇌출혈환자실시치료적실천과정중,채용찬공인류수술방식적림상효과현저,시림상침대고혈압뇌출혈환자실시치료적가고선택。
Objective:To study the clinical treatment effect of different operation methods in the treatment of patients with hypertensive cerebral hemorrhage ,in order to provide evidence and consulting for the related study and clinical practice of hypertensive cerebral hemorrhage .Methods:72 of patients with hypertensive cerebral hemorrhage in our hos‐pital from January 2009 to January 2012 were selected as research object ,and the patients were divided into bone flap craniotomy group and trepanation and drainage group according to the differences of operation methods ,then the recov‐ery situation of consciousness at first week ,complication rate at second week ,GCS score at 24h and FAM score at 1 month after the operation of two groups were observed and compared .Results:(1)The recovery effect of consciousness of trepanation and drainage group at first week was obviously better than that of bone flap craniotomy group ,there was significant difference(χ2 = 4 .599 7 ,P= 0 .032 0);the complication rate of consciousness of trepanation and drainage group at second week was obviously lower than that of bone flap craniotomy group ,there was significant difference (χ2 =4 .963 4 ,P=0 .025 9);(2)the GCS score of trepanation and drainage group at 24h after the operation was obvi‐ously better than that of bone flap craniotomy group ,there was significant difference(t= 2 .154 3 ,P=0 .034 7);the FAM score of trepanation and drainage group at 1 month after the operation was obviously better than that of bone flap craniotomy group ,there was significant difference(t=6 .136 ,P=0 .000 0) .Conclusion:The clinical effect of trepanation and drainage is significant during the treatment period of hypertensive cerebral hemorrhage ,and it is the reliable choice for the treatment of hypertensive cerebral hemorrhage .