微创血肿清除术联合亚低温治疗重症高血压脑出血的临床分析  

Clinical Analysing on Treatment of Brain Hemorrhage with the Minimal Access Surgery Combined Mildhypothermia Therapy

作　　者：杨淼[1] 张青松[1] 桂韦[1] 

机构地区：[1]安徽省亳州市人民医院神经内科,安徽亳州236800

出　　处：《河北医学》2009年第8期889-892,共4页Hebei Medicine

摘　　要：目的:探讨高血压脑出血的治疗方法及其效果评价。方法:将127例高血压脑出血患者分为3组:常规治疗组,行内科保守治疗;微创治疗组,在内科治疗的同时行微创颅内血肿清除术;联合治疗组,行微创治疗+亚低温治疗。比较3组治疗前后神经功能缺损评分(CSS)、治疗效果和治疗后3个月随访Barthel指数。结果:联合治疗组有效率为65.12%,高于微创治疗组和常规治疗组(P<0.05);联合治疗组治疗3个月患者日常生活活动能力亦高于微创治疗组和常规治疗组(P<0.05)。结论:微创术和亚低温联合治疗高血压脑出血可显著降低病死率和致残率,有利神经功能恢复。Objective： To explore the therapy methods and clinical effectiveness in hypertension intracranial hemorrhage. Method： 127 cases with hypertensive brain hemorrhage were divided into three groups randomly： standard therapy group with medical conservative treatment; minimal access surgery group with cleaning intracranial hemorrhage at the time of medical therapy; combined therapy group with cleaning intracranial hemorrhage at the time of mild hypothermia therapy. To compare three groups with neurological functional deficit scores china strore scale, the clinical therapeutic effects and Barthel index which was accessed in both groups before treatment and 3 months later . Result： The total clinical effective rate in combined therapy group was 65.12% ,which was higher than minimal access surgery group and randomly standard therapy group （ P 〈 0. 05 ） ; after 3 months , the Barthel index in combined therapy group was higher than them , too. （ P 〈 0. 05 ）. Conclusion ： Combined therapy of minimal access surgery therapy and mild hypothermia can significant reduce morbidity and disability rates, favor of renew nerval funetion.

关 键 词：微创治疗 亚低温 高血压脑出血 

分 类 号：R651.1[医药卫生—外科学]