CT定向穿刺辅助软通道技术治疗老年中等血量高血压单侧基底核区脑出血62例疗效分析  

The Effect Analysis of Transcranial Puncture under CT Locating in Elderly Patients with Moderate Hypertensive Intracerebral Hemorrhage

作　　者：罗乐[1] 魏平波[1] 刘刚[1] 龚浩[1] 

机构地区：[1]绵竹市人民医院,四川绵竹618200

出　　处：《中外医学研究》2014年第11期5-7,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:比较CT定向穿刺软通道技术及内科保守治疗老年患者中等血量高血压脑出血的疗效。方法:选择2011年10月-2013年9月笔者所在医院收治的62例符合纳入标准的单侧基底核区高血压脑出血患者,遵照知情同意原则随机分为软通道组30例和内科组32例,比较两组患者的再出血率、死亡率、住院时间及3个月随访致残率。结果:两组患者再出血率及随访3个月致残率组间比较差异无统计学意义(字2=0.433,P>0.05;字2=0.108,P>0.05)。两组患者病死率、住院时间组间比较差异有统计学意义(字2=5.524,P<0.05;t=2.996,P<0.05)。结论:CT定向穿刺辅助软通道技术治疗老年患者中等血量高血压脑出血的临床疗效满意,能够提高患者生存率,缩短住院时间,且安全性可靠,具有较高的临床实用价值。Objective： To compare transcranial puncture under CT locating and conservative management for elderly patients with moderate hypertensive intracerebral hemorrhage treatment.Method： Totally 62 cases diagnosed with basal ganglia hemorrhage and hospitalized author＇s hospital from October 2011 to September 2013 patients in unilateral basal ganglia, follow the principle of informed consent and were randomly divided into transcranial puncture under CT locating group（n=30） and conservative treatment group（n=32）.The recurrent rehemorrhage rate, mortality rate, average stay and disability rate 3 months after the procedure were observed.Result： Disability rate 3 months after the procedure and rehemorrhage rate were no significant difference between the two groups（x2=0.108, P〉0.05 ; X2=0.433, P〉0.05）.Comparison between the two groups of mortality rate and average hospital stay had significant difference（x2=5.524, P〈0.05 ; t=2.996, P〈0.05）.Conclusion： Transcranial puncture under CT locating of elderly patients with moderate hypertensive intracerebral hemorrhage clinical curative effect satisfaction, can improve the patients survival rate, shorten the length of hospital stay, and is safe and reliable, and has high clinical practical value.

关 键 词：CT定向 软通道碎吸 老年 中等血量 高血压脑出血 

分 类 号：R544.1[医药卫生—心血管疾病]