不同手术时机对高血压脑出血患者预后的影响  

Effect of different operation time on prognosis of paitients with hypertensive intracerebral hemorrhage

作　　者：麦晓[1] 欧海荣[1] 覃木秀[1] 李辉[1] 

机构地区：[1]吴川市人民医院神经外科,广东吴川524500

出　　处：《现代医药卫生》2010年第1期14-15,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨不同手术时机对高血压脑出血患者预后的影响。方法:选取2006年1月～2008年1月在我院治疗的高血压脑出血患者98例,按照不同的手术时机分为超早期组、早期组和晚期组,随访观察患者的预后。结果:超早期组患者术后再出血与早期组、晚期组比较差异无统计学意义(P>0.05);超早期组患者术后肺部感染、上消化道出血、电解质紊乱、肾功能衰竭发生率及死亡率明显低于早期组及晚期组,两者比较差异具有统计学意义(P<0.05)。超早期组患者意识情况恢复率明显高于早期组、晚期组,两者比较差异具有统计学意义(P<0.05)。超早期组患者残疾率明显低于早期组、晚期组,两者比较差异具有统计学意义(P<0.05)。超早期组患者GOS量表评分优良率明显高于早期组、晚期组,两者比较差异具有统计学意义(P<0.05)。结论:超早期手术是改善高血压脑出血患者的预后的有效方法。Objective ：To investigate the effect of different operation time on prognosis of paitients with hypertensive intracerebral hemorrhage（HICH）.Methods：98 cases with HICH in our hospital from January in 2006 to January in 2008 were divided into the superearly group,early group and late group according to the different operation time, and the prognosises of paitients were observed by followwing-up.Results：There was no significant difference on rehaemorrhagia after operation in the super-early group, （P〉0.05）.The incidence rate of pulmonary infection, renal failure,electrolyte disturbances,upper gastrointestinal bleeding and pulmonary infection and death rate in super-early group was lower than that in early group and late group, and there was significant difference in them （P〈0.05）. The recovery rate of super-early group was higher than that of early group and late group, and there was significant difference in them（P〈 0.05）.The disability rate of hyper-early group was higher than that of early group and late group, and there was significant difference in them（P〈0.05）. The fineness rate of GOS scores of early group and late group, had significant difference（P〈0.05）.Conclusion：The superearly operation is an effective method to improve the prognosis of paifients with hypertensive intracerebral hemorrhage.

关 键 词：手术时机 高血压脑出血 预后 

分 类 号：R5[医药卫生—内科学]