中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2015年
13期
9-11
,共3页
微创颅内血肿清除术%高血压脑出血%生活质量
微創顱內血腫清除術%高血壓腦齣血%生活質量
미창로내혈종청제술%고혈압뇌출혈%생활질량
Mini-traumatic intracranial hematoma dissection%Hypertensive cerebral hemorrhage%Life quality
目的：分析应用微创颅内血肿清除术治疗脑出血（C H ）的临床效果。方法选取180例高血压C H患者为研究对象，将其随机分为观察组和对照组，每组各90例。对照组给予内科保守治疗，观察组在对照组治疗的基础上给予微创颅内血肿清除术治疗。对2组的临床疗效和并发症的发病率以及治疗3个月后患者的各项生活质量评分进行观察和比较。结果2组的临床总有效率分别为96.7％和70.0％，观察组的临床总有效率显著高于对照组（ P＜0.05），且观察组中基本治愈高于对照组（P＜0.05），有效或无效显著低于对照组（P＜0.05）；观察组并发症发生率均显著低于对照组（P＜0.05）；治疗后观察组的各项生活质量评分均显著高于对照组（P＜0.05）。结论应用微创颅内血肿清除术治疗CH的疗效优于内科保守治疗，可显著改善患者术后的生活质量并降低并发症的发病率。
目的：分析應用微創顱內血腫清除術治療腦齣血（C H ）的臨床效果。方法選取180例高血壓C H患者為研究對象，將其隨機分為觀察組和對照組，每組各90例。對照組給予內科保守治療，觀察組在對照組治療的基礎上給予微創顱內血腫清除術治療。對2組的臨床療效和併髮癥的髮病率以及治療3箇月後患者的各項生活質量評分進行觀察和比較。結果2組的臨床總有效率分彆為96.7％和70.0％，觀察組的臨床總有效率顯著高于對照組（ P＜0.05），且觀察組中基本治愈高于對照組（P＜0.05），有效或無效顯著低于對照組（P＜0.05）；觀察組併髮癥髮生率均顯著低于對照組（P＜0.05）；治療後觀察組的各項生活質量評分均顯著高于對照組（P＜0.05）。結論應用微創顱內血腫清除術治療CH的療效優于內科保守治療，可顯著改善患者術後的生活質量併降低併髮癥的髮病率。
목적：분석응용미창로내혈종청제술치료뇌출혈（C H ）적림상효과。방법선취180례고혈압C H환자위연구대상，장기수궤분위관찰조화대조조，매조각90례。대조조급여내과보수치료，관찰조재대조조치료적기출상급여미창로내혈종청제술치료。대2조적림상료효화병발증적발병솔이급치료3개월후환자적각항생활질량평분진행관찰화비교。결과2조적림상총유효솔분별위96.7％화70.0％，관찰조적림상총유효솔현저고우대조조（ P＜0.05），차관찰조중기본치유고우대조조（P＜0.05），유효혹무효현저저우대조조（P＜0.05）；관찰조병발증발생솔균현저저우대조조（P＜0.05）；치료후관찰조적각항생활질량평분균현저고우대조조（P＜0.05）。결론응용미창로내혈종청제술치료CH적료효우우내과보수치료，가현저개선환자술후적생활질량병강저병발증적발병솔。
Objective To observe and analyze the effects of mini-traumatic intracranial hematoma dissection in the treat‐ment of cerebral hemorrhage (CH) .Methods 180 cases with hypertensive CH were selected as the research objects and ran‐domly divided into the observation group and the control group ,90 cases in each group .The patients in the control group were treated with the conservative treatment of internal medicine ,and the observation group received mini‐traumatic intracranial he‐matoma dissection on the basis of the control group .The clinical efficacy and the complications as well as the patients'life quali‐ty score after 3‐month treatment were observed and compared in the two groups .Results The total effective rate of 96 .7% in the observation group was significantly higher than 70% in the control group (P<0 .05) .Compared with control group ,the rate of "basic cure"in observation group showed statistical difference(P<0 .05) .invalid rate and the occurrence of complica‐tions in observation were significantly lower than those in the control group (P<0 .05);After the treatment ,the life quality scores in the observation group were significantly higher than those of the control group (P<0 .05) .Conclusion The applica‐tion of mini‐traumatic intracranial hematoma dissection in CH patients can achieve better effects than the conservative treatment of internal medicine ,which can improve the life quality of patients significantly and reduce the incidence of complications .
