阶梯性降压与联合引流模式治疗女性慢性硬膜下血肿的有效性评价  

Evaluation of the effectiveness of step-down and combined drainage in the treatment of chronic subdural hematomainwomen

作　　者：曹子轩 王冬杰[2] 祁晓花 刘俊彬 朱慧芳[2] 吕桂凤 杨立彬[2] CAO Zixuan;WANG Dongjie;QI Xiaohua;LIU Junbin;ZHU Huifang;LYU Guifeng;YANG Libin(Langfang People's Hospital,Langfang 065000,China;不详)

机构地区：[1]廊坊市人民医院,河北廊坊065000 [2]廊坊卫生职业学院 [3]廊坊市第四人民医院 [4]文安县急流口卫生院

出　　处：《中国国境卫生检疫杂志》2023年第S02期106-107,共2页Chinese Journal of Frontier Health and Quarantine

基　　金：廊坊市科学技术研究与发展计划项目(2018013119)。

摘　　要：目的探讨阶梯性降压与联合引流模式治疗40-50岁女性慢性硬膜下血肿患者的有效性。方法选取2015年1月到2017年6月我院收治的160例慢性硬膜下血肿女性患者,依照不同的治疗方式将其分为对照组(n=80)与观察组(n=80),对照组施以引流模式治疗,观察组施以阶梯性降压与联合引流模式治疗,观察两组患者血肿消失时间、残存硬膜下积液率、血肿复发率、住院时间、住院费用等。结果观察组的血肿消失时间与住院时间明显较短,残存硬膜下积液率与血肿复发率明显较低,住院费用较少,差异有统计学意义(P<0.05)。结论阶梯性降压与联合引流模式治疗40-50岁女性慢性硬膜下血肿具有较高的有效性。Objective To investigate the effectiveness of step-down and combined drainage in the treatment of chronic subdural hematoma in women aged 40-50 years.Methods 160 female patients with chronic subdural hematoma admitted to our hospital from January 2015 to June 2017 were selected and divided into control group(n=80)and observation group(n=80)according to different treatment methods.The control group was treated with drainagemode,and the observation group was treated with stepped hypotension and combined drainage mode.The disappearance time of hematoma,residual subdural effusion rate,recurrence rate of hematoma,length of stay and hospitalization cost of the two groups were observed.Results In the observation group,the disappearance time and hospitalization time of hematoma were significantly shorter,theresidual subdural effusion rate and recurrence rate of hematoma were significantly lower,and the hospitalization cost was significantly less,the difference was significant(P<0.05).Conclusion The treatment of chronic subdural hematoma in 40-50 year old female patients with stepped hypotension and combined drainage ishighly effective,which can not only shorten the time of disappearance of hematoma and length of hospital stay,but also reduce the rate of residual subdural effusion and recurrence of hematoma,and reduce hospitalization costs.

关 键 词：阶梯性降压 引流模式 慢性硬膜下血肿 

分 类 号：R183[医药卫生—流行病学]