| 巩学磊.颅内血肿微创穿刺清除术治疗重症高血压性脑出血的疗效分析.[J].中南医学科学杂志.,2014,42(3):271-273. |
| 颅内血肿微创穿刺清除术治疗重症高血压性脑出血的疗效分析 |
| Efficacy Analysis of Severe Hypertensive Intracerebral Hemorrhage Treatedby Smashed Intracranial Hematoma By Micro Traumatic Puncture |
| 投稿时间：2013-10-24 |
| DOI： |
| 中文关键词: 颅内血肿 穿刺清除术，微创 重症高血压脑出血 |
| 英文关键词:smashed intracranial hematoma micro traumatic puncture severe hypertensive intracerebral |
| 基金项目: |
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| 中文摘要: |
| 目的探讨颅内血肿微创穿刺清除术治疗重症高血压性脑出血的疗效。方法回顾性分析重症高血压脑出血患者的临床资料，其中采用微创颅内血肿清除治疗为微创组，开颅手术治疗为小骨窗组，比较两组的临床疗效。结果术后第1天小骨窗组血肿量显著少于微创组（P<0.01），但术后3天和7天，两组血肿量比较没有差异（P>0.05）。两组术后NIHSS评分、临床疗效、GOS评分比较，差异无统计学意义（P>0.05），微创组肺部感染显著低于小骨窗组，住院时间显著短于小骨窗组（P<0.01）。结论颅内血肿微创穿刺清除术治疗高血压性脑出血安全可行，适应证较宽，可明显改善患者预后及生活质量，值得临床推广应用。 |
| 英文摘要: |
| ObjectiveTo analyse the efficacy of severe hypertensive intracerebral hemorrhage treated by smashed intracranial hematoma by micro traumatic puncture.MethodsFrom 2009 January to 2012 January,clinical data of 90 cases with severe hypertensive cerebral hemorrhage patients were ananlyzed.Cases treated by smashed intracranial hematoma by micro traumatic puncture were the minimally invasive group,and cases treated by small bone window craniotomy were the group of small bone window.Therapeutic effects were compared.ResultsHematoma volume of group of small bone window was smaller than that of minimally invasive group at one day after operation（P<0.01）.Volume of hematoma showed no significant difference between two groups at 3 day and 7 day after operation（P>0.05）.NIHSS,clinical efficacy and GOS of two groups had no significant difference（P>0.05）.Pulmonary infection rates of minimally invasive group was lower than that of group of small bone window,and hospital stay was shorter than that of group of small bone window（P<0.01）.ConclusionSmashed intracranial hematoma by micro traumatic puncture treatment of severe hypertensive intracerebral hemorrhage is safe and feasible,with relatively wider range of indications,significantly improves the prognosis and quality of life,which is worthy of clinical application. |
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