CAJ | 학술논문

目的：探讨小骨窗开颅经侧裂入路血肿清除术和骨瓣开颅血肿清除术治疗高血压脑出血的效果。方法回顾性分析该院2012年1月—2014年1月收治的70例高血压脑出血患者临床资料，按手术方法分为实验组和对照组，实验组为小骨窗开颅经侧裂入路血肿清除术，对照组为骨瓣开颅血肿清除术，比较两组患者术中出血量、手术时间、住院时间、日常生活能力(ADL)和病死率。结果对照组住院时间和术中出血量均较实验组高，组间比较差异有统计学意义(P<0.05)。术后1个月时，两组患者病死率和ADLⅠ~Ⅲ级百分率比较差异均无统计学意义(P>0.05)，但术后3个月时实验组ADLⅠ~Ⅲ级百分率较对照组高，差异有统计学意义(P<0.05)。结论高血压脑出血应用小骨窗开颅经侧裂入路血肿清除术可更好地改善患者生活能力，术中出血量和住院时间也可得到明显改善。
목적：탐토소골창개로경측렬입로혈종청제술화골판개로혈종청제술치료고혈압뇌출혈적효과。방법회고성분석해원2012년1월—2014년1월수치적70례고혈압뇌출혈환자림상자료，안수술방법분위실험조화대조조，실험조위소골창개로경측렬입로혈종청제술，대조조위골판개로혈종청제술，비교량조환자술중출혈량、수술시간、주원시간、일상생활능력(ADL)화병사솔。결과대조조주원시간화술중출혈량균교실험조고，조간비교차이유통계학의의(P<0.05)。술후1개월시，량조환자병사솔화ADLⅠ~Ⅲ급백분솔비교차이균무통계학의의(P>0.05)，단술후3개월시실험조ADLⅠ~Ⅲ급백분솔교대조조고，차이유통계학의의(P<0.05)。결론고혈압뇌출혈응용소골창개로경측렬입로혈종청제술가경호지개선환자생활능력，술중출혈량화주원시간야가득도명현개선。
Objective To evaluate the effects of intrapartum analgesia at different stages on labor.Methods A retrospective analysis was made on 70 cases of among primiparaes from January 2012 to January 2014 in our hospital,and were divided into control group and experimental group,control group were treated with conventional craniotomy approach,experimental group were treated with keyhole transsylvian approach,The amount of intraoperative bleeding, operation time, hospitalization time, the ability of daily life (ADL) and mortality rate were compared.Results The amount of intraoperative bleeding and hospitalization time of control group were lower than experimental group,the difference was statistically significant (P<0.05).The mortality rate and ADL I ~ III percentage between two group had no statistical difference in 1 month(P>0.05),but ADL I ~ III percentage of experimental group was higher than control group,the difference was statistically significant (P<0.05).Conclusion Keyhole transsylvian approach could improve ADL of patients with hypertensive intracerebral hemorrhage,amount of intraoperative bleeding and hospitalization time could be shortened also.