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作 者:李少春
机构地区:[1]原平市第一人民医院神经内科,山西省原平034100
出 处:《中国基层医药》2013年第7期994-996,共3页Chinese Journal of Primary Medicine and Pharmacy
摘 要:目的比较微创穿刺抽吸血肿法和颅锥钻孔抽吸血肿法治疗高血压性脑出血的临床疗效。方法将62例高血压脑出血患者按随机数字表法分为两组:微创穿刺抽吸血肿法31例(微创穿刺组),采用YL.I型微创穿刺针。颅锥钻孔抽吸血肿31例(颅锥钻孔组),根据CT确定的血肿位置估计血肿量,确定手术方案。结果微创穿刺抽吸血肿法术后继发颅内出血4例(12.9)%,血肿清除率81.0%;治疗3个月后,轻型神经功能缺损16例(51.6%),中型神经功能缺损8例(25.8%),重型神经功能缺损3例(9.6%)。颅锥钻孔抽吸血肿法术后继发颅内出血5例(16.1)%,血肿清除率82.6%;治疗3个月后,轻型神经功能缺损15例(48.4%),中型神经功能缺损8例(25.8%),重型神经功能缺损4例(12.9%)。两组继发颅内出血率差异无统计学意义(x^2=0.412,P=0.324)。结论两种方法血肿清除率相近;微创法术后继发颅内出血率偏低且适合耐受较差的患者。Objective To compare the clinical effect of minimally puncture aspiration therapy with cranial awl hole aspiration thereapy for hypertension cerebral hemorrhage. Methods Sixty-two people were divided into two groups at random:minimally puncture aspiration therapy was used to treat 31 patients with hypertensive cerebral hem, orrhage, minimally puncture aspiration therapy was guided by CT with YL-1 minimally puncture needle. Cranial awl hole aspiration thereapy was used to 31 patients and was guided by CT. Results The intracranial hemorrage seconda- ry rate was 12.9%, hematoma removal rate was 81.0%. After 3 months of treatment, light defect with neural function was 16 cases(51.6% ) ,severe neurological deficits was 3 cases(9.6% )and moderate defect was 8 cases(25.8% ). The intracranial hemorrage secondary rate was 16.1% ,hematoma remowal rate was 82.6% ,After 3 months of treat- ment,light defect with neural function was 15 cases(48.4% ) ,severe neurological deficits was 4 cases( 12.9% ) and moderate defect was 8 cases(25.8% ). The hematoma removal rate of minimally puncture aspiration thereapy was sim- ilar to cranial awl hole aspiration thereapy, while the intracranial hemorrage secondary rate was lower ( x^2 = 0.412, P = 0. 324). Conclusion The neural function defence score showed no significant differences. And it' s suifful for patients with poor tolerance.
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