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微创颅内血肿清除术联合亚低温治疗老年高血压脑出血疗效观察

姚宏伟

中国实用神经疾病杂志Issue(15):24-26,3.
中国实用神经疾病杂志Issue(15):24-26,3.

微创颅内血肿清除术联合亚低温治疗老年高血压脑出血疗效观察

Observation of curative effect of the minimally invasive removal of intracranial hematoma combined with mild hypothermia treatment for patients with hypertensive cerebral hemorrhage in the elderly

姚宏伟1

作者信息

  • 1. 河南商丘市第一人民医院神经外科 商丘 476000
  • 折叠

摘要

Abstract

Objective To observe the curative effect of the minimally invasive removal of intracranial hematoma combined with mild hypothermia treatment for patients with hypertensive cerebral hemorrhage in the elderly. Methods Seventy-nine the elderly patients with hypertensive cerebral hemorrhage from Jan.2009 to Dec.2012 in our hospital were selected and were ran-domly divided into two groups. Thirty-five patients in control group received the minimally invasive removal of intracranial he-matoma based on the conventional symptomatic treatment ,and 44 patients in observation group received mild hypothermia treat- ment based on the control group. The National Institute of Health stroke scale and activities of Barthel index score were used to assess the function defect of nerve and life quality of the two groups after treatment of 1 month and 3 months. The curative effect of two groups was compared.Results The total curative effect in observation group was 81.8% ,which was higher than 60.0% of control group(P<0.05). After treatment of 1 month and 3 months ,the NIHSS scores in observation group were ob-viously lower than that of control group ,and the BI scores were obviously higher than control group(P<0.05).Conclusion Minimally invasive removal of intracranial hematoma combined with mild hypothermia treatment for the elderly patients with hypertensive cerebral hemorrhage has a evident effect ,and could significantly reduce the morbidity and mortality ,promote the neurofunctional recovery ,and improve the quality of life.

关键词

高血压脑出血/老年/微创颅内血肿清除术/亚低温

Key words

Hypertensive cerebral hemorrhage/The elderly/Minimally invasive removal of intracranial hematoma/Mild hypothermia

分类

医药卫生

引用本文复制引用

姚宏伟..微创颅内血肿清除术联合亚低温治疗老年高血压脑出血疗效观察[J].中国实用神经疾病杂志,2014,(15):24-26,3.

中国实用神经疾病杂志

1673-5110

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