| 摘要: |
| ［摘要］ 目的 观察微创血肿穿刺抽吸引流术在重症高血压出血患者中的应用效果。方法 收集2012-01～2014-01该院收治的重症高血压脑出血患者35例,采用随机数字法分为两组,观察组(18例)采用微创血肿穿刺抽吸引流术进行治疗,对照组(17例)采用传统开颅术进行治疗,比较两组患者的手术时间、术中出血量、治疗前后NIHSS评分及疗效。结果 观察组的手术时间［（47.9±6.7）min］短于对照组［（91.5±11.8）min］（P<0.01）；观察组术中出血量［（120.8±28.7）ml］少于对照组［(291.5±71.4)ml］（P<0.01）；观察组治疗后NIHSS评分［(13.4±9.5)分］低于对照组［(25.2±11.2)分］（P<0.01）；观察组疗效优于对照组(P<0.05)。结论 微创血肿穿刺抽吸引流术操作简便、安全、可靠,可有效改善患者术后神经功能，提高治疗效果。 |
| 关键词: 微创血肿穿刺抽吸引流术 传统开颅术 高血压脑出血 |
| DOI：10.3969/j.issn.1674-3806.2016.08.12 |
| 分类号:R 743 |
| 基金项目: |
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| The application of minimally invasive hematoma puncture suction drainage in patients with severe hypertensive intracerebral hemorrhage |
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ZHANG Zhong
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The application of minimally invasive hematoma puncture suction drainage in patients with severe hypertensive intracerebral hemorrhage
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| Abstract: |
| ［Abstract］ Objective To observe the clinical value of minimally invasive hematoma puncture suction drainage in the treatment of severe hypertensive intracerebral hemorrhage.Methods Thirty-five patients with hypertensive intracerebral hemorrhage were collected in our hospital from January 2012 to January 2014 and randomly divided into two groups. The observation group(n=18) received minimally invasive hematoma puncture suction drainage, and the control group(n=17) received the conventional treatment of craniotomy. The operation time, intraoperative blood loss, clinical efficacy, and NIHSS were compared between the two groups.Results The operation time of the observation group［(47.9±6.7)min］ was significantly shorter than that of the control group［(91.5±11.8)min］（P<0.01）; The intraoperative blood loss of the observation group［(120.8±28.7)ml］ was significantly less than that of the control group［(291.5±71.4)ml］（P<0.01）; The NIHSS of the observation group(13.4±9.5) was significantly less than that of the control group(25.2±11.2)（P<0.01）; The clinical efficacy of the observation group was better than that of the control group（P<0.05）.Conclusion The minimally invasive hematoma puncture suction drainage is simple, safe, and effective for the treatment of hypertensive intracerebral hemorrhage. |
| Key words: Minimally invasive hematoma puncture suction drainage Conventional craniotomy Hypertensive intracerebral hemorrhage |
