基层医院神经内科对高血压脑出血定向硬、软通道技术临床救治体会  

作　　者：王永东[1] 孙桂良[1] 

机构地区：[1]安徽省淮南市新康医院神经内科,安徽232007

出　　处：《当代医学》2013年第21期33-34,共2页Contemporary Medicine

摘　　要：目的探究基层医院神经内科对高血压脑出血定向硬、软通道技术临床救治体会。方法所有患者均入院确诊后,均采用微创介入技术清除血肿,其中观察组给予硬通道技术,对照组给予软通道技术,观察并对比两组患者的近期疗效及预后。结果观察组与对照组患者的成活率与死亡率;观察组和对照组术后再出血病例;两组存活患者3个月ADL分级比较后的差异均无统计学意义,P>0.05;治疗后观察组颅内血肿量清除情况明显优于对照组,差异具有统计学意义,P<0.05。结论硬、软通道微创手术技术均可以治疗高血压脑出血,特别适用于基层医院,临床治疗中应根据患者具体情况灵活选择手术方法。Objective To explore the clinical treatment experience of hard and soft channel on hypertensive cerebral hemorrhage in internal medicine-neurology department of basic hospitals. Methods After identifying the causes of all patients, minimally invasive techniques were used to remove the hematoma, the observation group was treated by the hard channel technology, and the control group was treated by the soft channel technology. Intracranial hematoma volumes were compared between two groups. Results After treatment, the intracranial hematoma volume removal of observation group was significantly better than the control group,P〈0.05.The survival rate of observation group was 95%, The survival rate of control group was 90%, The difference between two groups was not significant,P〉 0.05.Conclusion The hard and soft channel minimally invasive operation technology could be the best treatment of hypertensive cerebral hemorrhage, especially suitable for basic hospital.

关 键 词：神经内科 高血压脑出血 硬通道 软通道 

分 类 号：R651.1[医药卫生—外科学]