CT引导下血肿抽吸术在高血压脑出血中的临床应用  

Clinical application of CT guided aspiration of hematoma in hypertensive cerebral hemorrhage

作　　者：周良东[1] 夏连贵[1] 程琳[1] 

机构地区：[1]皖南医学院附属池州市人民医院,安徽247100

出　　处：《齐齐哈尔医学院学报》2014年第17期2545-2546,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨CT引导下血肿抽吸术在高血压脑出血中的临床应用。方法本次研究对象为我院2012—2013年2年间急诊科收治的高血压脑出血患者80例,患者均经头部CT检查证实为脑出血,急诊科接诊时患者收缩压>180 mmHg。研究对象随机分组为对照组和观察组,每组患者各40例,对照组患者给予常规治疗,给予药物降低颅内压,给患者吸氧,静脉支持给予患者水电解质平衡,密切监视患者生命体征。观察组患者在对照组常规治疗的基础上,上行CT引导下脑内血肿抽吸术治疗。结果本次试验治疗组患者中,治愈20例(占50.0%);好转18例(占45.0%);无效2例(占5.0%)。对照组患者中,治愈10例(占25.0%),总有效率为95%;好转12例(占30.0%);无效18例(占45.0%),总有效率为55%。治疗组患者的治愈率、好转率、总有效率均高于对照组,且P<0.05具有统计学差异,对照组患者无效率明显高于对照组患者,且P<0.05具有统计学差异。结论采用CT引导下血肿抽吸术治疗高血压脑出血,可明显提高患者的治疗效果,并且操作简单、创口小、患者恢复快,值得在临床中广泛推广。Objective To explore the clinical application of CT guided aspiration of hematoma in hypertensive cerebral hemorrhage. Methods The object of study of 80 patients in our hospital from 2012-2013 emergency department were hypertensive cerebral hemorrhage, patients were diagnosed by head CT examination confirmed the diagnosis of cerebral hemorrhage patients in emergency department admissions, systolic blood pressure of 〉 180mmhg. Study subjects were randomly divided into control group and observation group, 40 cases of patients in each group, the control group were given routine treatment, giving the drugs to patients to reduce intracranial pressure, oxygen inhalation, intravenous support to patients of water and electrolyte balance, closely monitor the vital signs of patients. The observation group patients in the control group based on routine treatment, the uplink CT guided aspiration for intracerebral hematoma. Results The test patients in the treatment group, 20 cases were cured, 40 patients accounted for 50% ; 18 cases were improved, 45% of 40 patients; 2 cases are invalid, accounting for 5% of 40 patients, patients in the control group, cured 10 cases, accounting for 25% of 40 cases, the total effective rate was 95% ; improved in 12 cases, accounting for 30% of 40 patients; 18 cases are invalid, accounting for 45% of the 40 cases, the total effective rate was 55% in treatment group, the cure rate, improvement rate, total effective rate was higher than that of the control group, and the P 〈 0.05 has significant difference, the patients in control group was significantly higher than that of control group were invalid, and P 〈 0. 05 have the difference of statistics. Conclusions The CT guided aspiration of hematoma in treatment of hypertensive cerebral hemorrhage, can significantly improve patient outcomes, and has the advantages of simple operation, small wound, fast recovery, is worthy of popularization in clinical practice.

关 键 词：CT引导 血肿抽吸术 高血压脑出血 

分 类 号：R493[医药卫生—康复医学]