發(fā)布時(shí)間：2018-03-09 18:20

  本文選題：高血壓　切入點(diǎn)：腦出血　出處：《基因組學(xué)與應(yīng)用生物學(xué)》2017年06期 　論文類型：期刊論文

【摘要】：比較開顱血腫清除術(shù)和微創(chuàng)穿刺術(shù)治療高血壓腦出血的可行性與有效性,選擇2014年8月~2015年11月在我院接受治療的90例中等量高血壓腦出血患者作為研究對(duì)象,將其隨機(jī)分為對(duì)照組和觀察組,每組45例。其中對(duì)照組患者接受小骨窗開顱血腫清除術(shù),觀察組患者接受微創(chuàng)穿刺術(shù),比較兩組患者手術(shù)后神經(jīng)功能缺損程度(NFD)、日常生活活動(dòng)能力(ADL)以及并發(fā)癥發(fā)生率和死亡率。結(jié)果表明:手術(shù)后2周時(shí),兩組患者NFD與ADL比較無顯著性差異(p0.05),觀察組患者消化道出血和呼吸道感染等不良反應(yīng)發(fā)生率明顯低于對(duì)照組患者(p0.05);手術(shù)后3個(gè)月時(shí),觀察組患者ADL明顯優(yōu)于對(duì)照組(p0.05),兩組患者的死亡率之間的差異不顯著(p0.05)。與開顱手術(shù)相比,微創(chuàng)穿刺術(shù)治療高血壓腦出血效果顯著,可有效促進(jìn)患者手術(shù)后日常生活能力的恢復(fù),降低并發(fā)率的發(fā)生。
[Abstract]:To compare the feasibility and effectiveness of craniotomy and minimally invasive puncture in the treatment of hypertensive intracerebral hemorrhage, 90 patients with moderate hypertensive intracerebral hemorrhage who were treated in our hospital from August 2014 to November 2015 were selected as the study objects. The patients in the control group were treated with small bone window craniotomy and the patients in the observation group were treated with minimally invasive puncture. The degree of neurological deficit, ADL, ADL), the incidence of complications and mortality were compared between the two groups. The results showed that: 2 weeks after operation, There was no significant difference in NFD and ADL between the two groups. The incidence of adverse reactions such as gastrointestinal bleeding and respiratory tract infection in the observation group was significantly lower than that in the control group (P 0.05), and at 3 months after operation, the incidence of adverse reactions in the observation group was significantly lower than that in the control group. The ADL in the observation group was significantly better than that in the control group (P 0.05). There was no significant difference in the mortality between the two groups. Compared with craniotomy, minimally invasive puncture was effective in the treatment of hypertensive intracerebral hemorrhage, which could effectively promote the recovery of the patients' daily living ability after operation. Reduce the incidence of concurrency.
【作者單位】： 鄂東醫(yī)療集團(tuán)黃石中心醫(yī)院神經(jīng)外科;
【基金】：鄂東醫(yī)療集團(tuán)中心院對(duì)本研究的支持
【分類號(hào)】：R544.1;R651.12

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