针钻一体穿刺治疗重症高血压脑出血的研究  

Study on the treatment of severe hypertensive intracerebral hemorrhage by the operation with integrative needle and drill

作　　者：李康增[1] 郑志雄[1] 彭友敬[1] 郑建明[1] 钟林清[1] 周扬[2] 林朋兴[1] 许名远[1] 陈彩华[1] 

机构地区：[1]福建医科大学闽东医院神经内科,福建福安355010 [2]福建中医学院

出　　处：《中国急救医学》2008年第5期385-388,共4页Chinese Journal of Critical Care Medicine

基　　金：福建省重点科技项目(No2005Y035)

摘　　要：目的观察应用针钻一体穿刺治疗重症高血压脑出血的疗效。方法对40例重症高血压脑出血采用针钻一体穿刺结合早期系统的康复治疗,并与40例常规内科治疗作对照。结果治疗组近期治愈率和远期良好率高于对照组(P<0.01),近期死亡率和远期致残率低于对照组(P<0.01)。结论针钻一体穿刺治疗重症高血压脑出血安全有效,并为重症高血压脑出血患者早期系统康复治疗降低了再出血的风险,疗效优于常规内科治疗。Objective To observe the curative effect of severe hypertensive intracerebral hemor- rhage by micro - puncture operation with integrative needle and drill. Methods 40 patients with hypertensive intracerebral hemorrhage were treated with micro - puncture operation of integrative needle and drill, and were given early systematic rehabilitation at the same time. 40 patients in control group received routine treatment. Result The short - term cure rate and the long - term recovery rates in micro - puncture group were statistically higher than those in the control group （ P 〈 0.01 ） ;The short - term mortality and the long - term disability rate in micro - puncture group were obviously less than those in the control group （ P 〈 0.01 ）. Conclusions Treatment of micro - puncture operation with integrative needle and drill for severe hypertensive intracerebral hemorrhage is an effective and safe method, which is superior to routine therapy.

关 键 词：高血压脑出血 微创穿刺术 早期康复 

分 类 号：R651[医药卫生—外科学]