CAJ | 학술논문

目的探讨不同方法在老年人高血压脑出血的治疗效果.方法回顾性分析高血压脑出血病人80例,随机分为两组,分别采用微创血肿碎吸术和小骨窗开颅血肿清除术,术后并发症,死亡率和术后ADL分级进行比较,所获数据采用2检验.结果两组血肿清除率与再出血率比较,P>0.05,无显著性差异.两组术后并发症比较,P>0.05,无显著性差异.两组术后功能恢复比较,P>0.05,无显著性差异.结论微创血肿碎吸术具有手术时间短,创伤小,操作简单,效果确切,能明显降低患者医疗费用等特点,特别适合在基层医院开展.
목적 탐토불동방법재노년인고혈압뇌출혈적치료효과.방법 회고성분석고혈압뇌출혈병인80례,수궤분위량조,분별채용미창혈종쇄흡술화소골창개로혈종청제술,술후병발증,사망솔화술후ADL분급진행비교,소획수거채용2검험.결과 량조혈종청제솔여재출혈솔비교,P>0.05,무현저성차이.량조술후병발증비교,P>0.05,무현저성차이.량조술후공능회복비교,P>0.05,무현저성차이.결론 미창혈종쇄흡술구유수술시간단,창상소,조작간단,효과학절,능명현강저환자의료비용등특점,특별괄합재기층의원개전.
Objective To explore the curative effect of different methods on hypertensive intracerebral hemorrhage in the elderly patients. Methods We analyse retrospectively hypertensive intracerebral hemorrhage patients, respectively 40 cases with minimally invasive hematoma aspiration biopsy and removal of small bone window craniotomy hematoma, by comparing the hematoma clearance rate, postoperative complications, mortality and postoperative ADL grading, we can evaluate the curative effect of two methods objectively. Results Through compring the two methods, small bone window craniotomy surgery for removal of hematoma and minimally invasive hematoma aspiration biopsy, has the same therapeu-tic effect, for larger hematoma, surgical indications, and did not happen cerebral hernia, in the treatment of hypertensive ce-rebral hemorrhage, but it is worthy of appling widely in aspect of comparing the two surgical trauma to the patients and saving medical resources. Conclusion Minimally invasive hematoma aspiration biopsy is a kind of safe and effective treatment, which especially suits for the basic-level hospitals, it can effectively save the patients'life, because of shorter operation time, small surgical injury, simple operation, also obvious curative effect and low cost etc.