CAJ | 학술논문

目的：探讨重症高血压脑出血患者手术时机对预后的影响。方法回顾性分析118例重症高血压脑出血患者的临床资料，根据患者从发病到手术时间进行分组。A组43例发病至手术时间≤7 h，B组38例发病至手术时间7~24 h，C组37例发病后24 h手术。比较各组临床疗效。结果 A组患者ADLI级的比例最高25.6%，其次为B组13.2%，C组比例5.4%最低（P<0.05）；A组吁级及死亡比例最低4.7%、7.0%，显著低于C组（P<0.05）。I级和Ⅱ级患者中，A组23例，占53.5%，B组11例，占28.9%，C组6例，占16.2%，三组间比较差异有统计学意义（P<0.05）。结论重症高血压脑出血患者在可能的情况下，应尽早行手术治疗。
목적：탐토중증고혈압뇌출혈환자수술시궤대예후적영향。방법회고성분석118례중증고혈압뇌출혈환자적림상자료，근거환자종발병도수술시간진행분조。A조43례발병지수술시간≤7 h，B조38례발병지수술시간7~24 h，C조37례발병후24 h수술。비교각조림상료효。결과 A조환자ADLI급적비례최고25.6%，기차위B조13.2%，C조비례5.4%최저（P<0.05）；A조우급급사망비례최저4.7%、7.0%，현저저우C조（P<0.05）。I급화Ⅱ급환자중，A조23례，점53.5%，B조11례，점28.9%，C조6례，점16.2%，삼조간비교차이유통계학의의（P<0.05）。결론중증고혈압뇌출혈환자재가능적정황하，응진조행수술치료。
Objective To discuss effect of timing of surgery on prognosis of severe hypertensive cerebral hemorrhage. Methods Clinical data of 118 cases with severe hypertensive cerebral hemorrhage were divided into three groups ac-cording to the time from the onset to surgery. Onset to operation of group A was≤7 h, a total of 43 cases;Group B was 7-24 h, a total of 38 cases;And a total of 37 cases in group C were 跃24 h. Clinical efficacy of three groups were com-pared. Results Group A had the highest level ADLⅠproportion of 25.6%, next was group B with 13.2%, and group C was lowest with 5.4%(P<0.05);Group A吁grade and deaths proportion were lowest(4.7%and 7.0%), which were lower than group C (P<0.05). Patients with stageⅠ and II of group A were 23 cases, accounting for 53.5%, Group B were 11 cases, accounting for 28.9%, and group C were 6 cases, accounting for 16.2%, which showed significant difference (P<0.05). Conclusion Hypertensive encephalopathy disease patients should be treated surgically as soon as possible.