中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
28期
106-108
,共3页
钱晓波%刘惠祥%沈鸟松%蒋锋
錢曉波%劉惠祥%瀋鳥鬆%蔣鋒
전효파%류혜상%침조송%장봉
高血压脑出血%外科手术治疗%效果
高血壓腦齣血%外科手術治療%效果
고혈압뇌출혈%외과수술치료%효과
Hypertensive intracerebral hemorrhage%Surgical treatment%Effect
目的 探析脑外科手术治疗高血压脑出血临床疗效. 方法 随机选择该院神经外科2013年1月—2014年12月收取并予以治疗的70例高血压脑出血患者,将其随机分为实验组35例,对照组35例. 治疗时,对照组病患以立体定向颅内血肿穿刺抽吸引流术为主要方案开展救治活动,而实验组病患则以小骨窗开颅手术为主要方案开展救治活动,同时观察2组患者救治有效性. 结果 实验组病患治疗7 d以后,其血肿体积是(19.02±9.98)mL,治疗14 d以后,其血肿体积是(11.55±7.93) mL.同时,实验组出现1例并发症,占2.86%,对照组有9例,占25.71%,两组比较差异有统计学意义(P<0.05);治疗后,实验组26例(74.26%)病患生活能力达到一级标准,7例(20.00%)达到二级标准,2例(5.71%)达到三级标准,比对照组更具优势,两组比较差异有统计学意义(P<0.05). 结论 基于高血压脑出血病患而言,以小骨窗开颅手术为主要方案开展救治活动有助于改善病患临床指征和控制其血肿体积,同时还能改善病患生活能力,可推广.
目的 探析腦外科手術治療高血壓腦齣血臨床療效. 方法 隨機選擇該院神經外科2013年1月—2014年12月收取併予以治療的70例高血壓腦齣血患者,將其隨機分為實驗組35例,對照組35例. 治療時,對照組病患以立體定嚮顱內血腫穿刺抽吸引流術為主要方案開展救治活動,而實驗組病患則以小骨窗開顱手術為主要方案開展救治活動,同時觀察2組患者救治有效性. 結果 實驗組病患治療7 d以後,其血腫體積是(19.02±9.98)mL,治療14 d以後,其血腫體積是(11.55±7.93) mL.同時,實驗組齣現1例併髮癥,佔2.86%,對照組有9例,佔25.71%,兩組比較差異有統計學意義(P<0.05);治療後,實驗組26例(74.26%)病患生活能力達到一級標準,7例(20.00%)達到二級標準,2例(5.71%)達到三級標準,比對照組更具優勢,兩組比較差異有統計學意義(P<0.05). 結論 基于高血壓腦齣血病患而言,以小骨窗開顱手術為主要方案開展救治活動有助于改善病患臨床指徵和控製其血腫體積,同時還能改善病患生活能力,可推廣.
목적 탐석뇌외과수술치료고혈압뇌출혈림상료효. 방법 수궤선택해원신경외과2013년1월—2014년12월수취병여이치료적70례고혈압뇌출혈환자,장기수궤분위실험조35례,대조조35례. 치료시,대조조병환이입체정향로내혈종천자추흡인류술위주요방안개전구치활동,이실험조병환칙이소골창개로수술위주요방안개전구치활동,동시관찰2조환자구치유효성. 결과 실험조병환치료7 d이후,기혈종체적시(19.02±9.98)mL,치료14 d이후,기혈종체적시(11.55±7.93) mL.동시,실험조출현1례병발증,점2.86%,대조조유9례,점25.71%,량조비교차이유통계학의의(P<0.05);치료후,실험조26례(74.26%)병환생활능력체도일급표준,7례(20.00%)체도이급표준,2례(5.71%)체도삼급표준,비대조조경구우세,량조비교차이유통계학의의(P<0.05). 결론 기우고혈압뇌출혈병환이언,이소골창개로수술위주요방안개전구치활동유조우개선병환림상지정화공제기혈종체적,동시환능개선병환생활능력,가추엄.
Objective To analyze the clinical efficacy of surgical treatment for hypertensive intracerebral hemorrhage. Methods 70 patients with hypertensive intracerebral hemorrhage admitted to and treated in the Department of Neurosurgery in this hospital be-tween January 2013 and December 2014 were included and randomized to undergo stereotaxic punction and aspiration of hematoma (the control group, n=35) and small bone window craniotomy (the observation group, n=35). The clinical effective rate of the two groups was observed. Results The hematoma volume was (19.02±9.98) mL and (11.55±7.93) mL 7d and 14d after treat-ment respectively in the observation group;1 case of complication was found in the observation group, accounting for 2.86%, and 9 in the control group, accounting for 25.71%, and the difference was statistically significant between the two groups, P<0.05; after treatment, 26 patients (74.26%) obtained Grade I in quality of life, and 7 (20.00%) obtained Grade II, 2 (5.71%) obtained Grade III in the observation group, superior to those in the control group, and the difference was statistically significant, (P<0.05). Con-clusion Small bone window craniotomy is worthy of promotion in the treatment of patients with hypertensive intracerebral hemor-rhage because it can improve clinical indications and control hematoma volume while improving their life ability.