局部亚低温联合血肿清除术治疗外伤性脑内血肿的效果  

Effect of Local Mild Hypothermia Combined With Hematoma Evacuation in the Treatment of Traumatic Intracerebral Hematoma

作　　者：王伟[1] WANG Wei(Neurosurgery Department,Jilin Provincial People's Hospital,Changchun Jilin 130000,China)

机构地区：[1]吉林省人民医院神经外科,吉林长春130000

出　　处：《中国卫生标准管理》2020年第4期31-33,共3页China Health Standard Management

摘　　要：目的探讨局部亚低温联合血肿清除术治疗外伤性脑内血肿的效果。方法选取本院2017年8月—2019年8月收治的164例外伤性脑内血肿患者,采用抽签法将其分成两组各82例,对照组采用血肿清除术治疗,观察组采用局部亚低温联合血肿清除术治疗,比较两组患者治疗前后的血肿大小和疗效。结果治疗前组间血肿体积比较差异无统计学意义(P>0.05);治疗后观察组血肿体积低于对照组(P<0.05);观察组总有效率(90.24%)高于对照组(76.83%)(P<0.05)。结论局部亚低温联合血肿清除术治疗外伤性脑内血肿可有效减小血肿,提升疗效。Objective To investigate the effect of local mild hypothermia combined with hematoma evacuation in the treatment of traumatic intracerebral hematoma.Methods A total of 164 patients with traumatic intracerebral hematoma admitted to our hospital from August 2017 to August 2019 were enrolled in this study.They were divided into two groups,82 patients in the control group.The control group was treated with hematoma evacuation.Hypothermia combined with hematoma evacuation was performed to compare the size and efficacy of hematoma before and after treatment in the two groups.Results There was no significant difference in the volume of hematoma between the two groups before treatment(P>0.05).The volume of hematoma in the observation group was lower than that in the control group(P<0.05).The total effective rate of the observation group(90.24%)was higher than that in the control group(76.83%)(P<0.05).Conclusion Local mild hypothermia combined with hematoma evacuation for the treatment of traumatic intracerebral hematoma can effectively reduce hematoma and improve the efficacy.

关 键 词：局部亚低温 血肿清除术 联合 外伤性脑内血肿 血肿体积 神经功能 

分 类 号：R651[医药卫生—外科学]