CAJ | 학술논문

目的：针对两种不同穿刺部位治疗高血压性脑出血的疗效进行对比，为合理选择颅内血肿的穿刺部位提供参考。方法回顾性分析脑出血80例患者的临床资料，按穿刺部位分为两组：下1／3穿刺组与中心穿刺组各40例，下1／3穿刺组选择血肿下1／3引流，中心穿刺组选择血肿中心引流。观察两组术后并发症发生情况，根据GOS量表来评定疗效。结果两组术后均无死亡患者，其并发症结果如下：下1／3穿刺组（再出血1例，肺部感染1例，下肢静脉血栓形成0例，应激性溃疡2例），中心穿刺组（再出血4例，肺部感染6例，下肢静脉血栓形成1例，应激性溃疡5例）。下1／3穿刺组疗效优良率好于中心穿刺组（82．5％vs．52．5％）（P＜0．05）。结论下1／3穿刺组血肿下1／3引流治疗脑出血可以高效引流血肿，降低致残率，提高预后疗效。
목적：침대량충불동천자부위치료고혈압성뇌출혈적료효진행대비，위합리선택로내혈종적천자부위제공삼고。방법회고성분석뇌출혈80례환자적림상자료，안천자부위분위량조：하1／3천자조여중심천자조각40례，하1／3천자조선택혈종하1／3인류，중심천자조선택혈종중심인류。관찰량조술후병발증발생정황，근거GOS량표래평정료효。결과량조술후균무사망환자，기병발증결과여하：하1／3천자조（재출혈1례，폐부감염1례，하지정맥혈전형성0례，응격성궤양2례），중심천자조（재출혈4례，폐부감염6례，하지정맥혈전형성1례，응격성궤양5례）。하1／3천자조료효우량솔호우중심천자조（82．5％vs．52．5％）（P＜0．05）。결론하1／3천자조혈종하1／3인류치료뇌출혈가이고효인류혈종，강저치잔솔，제고예후료효。
Objective To provide a reasonable method of selecting the site of puncture and to compare the efficacy of two different sites of puncture for treating hypertensive cerebral hemorrhage.Methods According to puncture site, 80 patients with hypertensive cerebral hemorrhage were randomly divided into the treatment group and the traditional group with 40 ca-ses in each group.The method of draining from the paracenter of hematoma was used in the treatment group.The method of draining from the center of hematoma was carried in the traditional group.Results There was no postoperative mortality and complication results are as follows:re-bleeding 1 case, pulmonary infection 1 case, deep vein thrombosis 0 cases, stress ulcer 2 cases in the treatment group and re-bleeding 4 cases, pulmonary infection 6 cases, venous thrombosis formation 1 case, stress ulcer 5 cases in the traditional group.The efficacy of the treatment group is better than the traditional group (the excellent and good rate of 82.5%is better than 52.5%) (P<0.05).Conclusion The new therapy is more effective in draining hematoma and gets lower disability rate and better prognosis.