基底节区血肿术后血肿残留量对近期预后的影响  

The influence of hematoma residues on early prognosis of hypertensive basal ganglia cerebral hemorrhage

作　　者：杨梅庭 丁丽君[1] 李春茂[1] 刘丽[1] 周和平[1] 陈敏江[1] 

机构地区：[1]浙江省台州市第一人民医院神经外科,浙江台州318020

出　　处：《中国现代医生》2012年第31期34-35,37,共3页China Modern Doctor

基　　金：浙江省台州市黄岩区重大科技计划项目(2010015)

摘　　要：目的探讨高血压基底节区血肿术后血肿残留量对近期预后的影响。方法 60例高血压基底节区脑出血患者早期行小骨窗显微镜下血肿清除手术,术后48 h复查头颅CT查血肿残留量,观察不同血肿残留量术后48 h的意识改善程度和术后1个月患侧肌力恢复程度,并作统计学处理。结果术后48 h GCS均值比较:血肿残留量<5 mL组与5～10 mL组无显著性差异(t=1.867,P>0.05),血肿残留量5～10 mL组与>10 mL组有显著性差异(t=2.917,P<0.01);术后1个月肌力均值比较:血肿残留量<5 mL组与5～10 mL组有显著性差异(t=2.793,P<0.01),血肿残留量5～10 mL组与>10 mL组有显著性差异(t=2.234,P<0.05)。结论基底节区HICH术中血肿清除越彻底,术后血肿残留量越少,术后近期疗效越好。Objective To investigate hematoma residues influencing on early prognosis of hypertensive basal ganglia cere- bral hemorrhage. Methods A total of 60 patients with hypertensive basal ganglia cerebral hemorrhage were treated by mi- crosurgery with small bone window early stage, reviewed head CT at 48h after operation, to statistical analysis GCS at 48h after operation and muscle strength at lm after operation in different residual hematoma. Results Forty-eight h GCS mean in comparison： hematoma residues 〈5 mL group with 5-10 mL was no significant difference （t = 1.867, P 〉 0.05）, hematoma residues 5-10 mL group with 〉I0 mL group was significant differences （t = 2.917, P 〈 0.01 ）; the mean in mus- cle strength after lm comparison：hematoma residues 〈5 mL group with 5-10 mL group was significant difference （t = 2.793, P 〈 0.01 ）, ＇hematoma residues 5-10 mL group with 〉10 mL group was significant difference （t = 2.234, P 〈 0.05）. Conclusion Residual hematoma has significant impact on early prognosis of hypertensive basal ganglia cerebral hemor- rhage, less residual postoperative hematoma, the better early prognosis.

关 键 词：高血压基底节区脑出血 血肿残留量 早期预后 肌力 

分 类 号：R743.34[医药卫生—神经病学与精神病学]