微创清除术在高血压脑出血患者中的急救效果探讨  

Analysis of the first aid effect of minimally invasive surgery in patients with severe hypertensive intracerebral hemorrhage

作　　者：戚文涛[1] Qi Wentao(Department of Emergency Surgery , People＇s Hospital of Zhengzhou , Zhengzhou 450003, Chin)

机构地区：[1]郑州人民医院急诊外科,河南郑州450003

出　　处：《中国实用神经疾病杂志》2017年第14期22-25,共4页Chinese Journal of Practical Nervous Diseases

摘　　要：目的研究高血压脑出血患者行微创清除术治疗的急救疗效。方法对2014-05—2016-05收治入院的高血压脑出血患者105例进行回顾性研究,分为对照组52例(传统内科治疗)和研究组53例(微创清除术),对比2组临床疗效,比较2组神经功能缺损评分、Glasgow昏迷评分、病死率及并发症和住院时间情况。结果研究组总有效率62.26%,高于对照组46.15%,且病死率低于对照组(5.67%vs 17.31%),差异有统计学意义(P<0.05);研究组中、重型高血压脑出血患者治疗后神经功能缺损评分均显著降低,且治疗后低于对照组,中型高血压脑出血患者组间差异有统计学意义(P<0.05);治疗72h后研究组中、重型高血压脑出血患者Glasgow昏迷评分均显著高于对照组,差异有统计学意义(P<0.05);此外,治疗72h后病死率及并发症比较,研究组明显较对照组低,组间比较差异具有统计学意义(P<0.05);重型患者住院时间比较,研究组短于对照组(P<0.05)。结论高血压脑出血患者采用微创清除术实施急诊救治,确切疗效,可明显提高救治率,值得临床推广。Objective To study the first aid effect of minimally invasive surgery in patients with severe hypertensive intrac- erebral hemorrhage. Methods A retrospective analysis of 105 patients with moderate to severe hypertensive intracerebral hemor- rhage admitted from May 2014 to May 2016 was carried out. 52 patients （control group）and 53 patients in the study group （mini- mally invasive surgery）, The neurological deficit score, Glasgow coma scale, mortality and complications and hospital stay were compared between the two groups. Results The total effective rate in the study group was 62.26% ,which was higher than that in the control group （46. 15%）,and the mortality was lower than that in the control group （5.67% vs 17. 31%）,and the difference was statistically significant （P 〈 0.05）. After 72 hours of treatment, the scores of neurological deficits in patients with hemorrhagic stroke were significantly lower than those in the control group and the control group （P 〈0.05）, and the difference between the two groups was statistically significant （P〈0.05）. In addition, the morbidity and mortality of patients with severe hypertensive intracerebral hemorrhage were significantly lower than those of the control group （P〈0.05）. In addition, the mortal- ity and complication rate were significantly lower in the study group than those in the control group （P〈0.05）. Compared with the control group,the time of hospitalization was shorter in the study group than in the control group （P〈0.05）. Conclusion In patients with severe hypertensive intracerebral hemorrhage using minimally invasive removal of emergency treatment, with the ex- act effect, significantly improve the treatment rate, the value of practical application.

关 键 词：高血压脑出血 微创清除术 神经功能缺损评分 效果 

分 类 号：R743.34[医药卫生—神经病学与精神病学]