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微侵袭血肿引流术治疗高血压脑出血的效果观察

张永安 陈旭 余斌 龚绍慧 詹剑

中国当代医药Issue(24):47-49,3.
中国当代医药Issue(24):47-49,3.

微侵袭血肿引流术治疗高血压脑出血的效果观察

Efficacy observation of minimally invasive hematoma drainage for treat-ment of hypertensive cerebral hemorrhage

张永安 1陈旭 1余斌 1龚绍慧 1詹剑1

作者信息

  • 1. 江西省上饶市人民医院脑外科,江西上饶 334000
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摘要

Abstract

Objective To evaluate the clinical efficacy and explore the clinical applicability of minimally invasive hematoma drainage for treatment of hypertensive cerebral hemorrhage. Methods 78 patients with hypertensive cerebral hemorrhage treated in our hospital from May 2011 to May 2014 were selected and randomly divided into experimental group and control group.The control group was given with conventional craniotomy for hematoma clearance while the experimental group was given with minimally invasive hematoma drainage.The operation duration,intraoperative blood loss,hematoma clearance rate,postoperative neural function deficit score,therapeutic effect and life quality were ob-served. Results Both groups had successful surgery and no craniotomy was adopted in the experimental group.The ex-perimental group had better results in operation duration,intraoperative blood loss and hematoma clearance rate than those of the control group,the difference was significant (P<0.05).The two groups had no significant difference in neural function deficit score before treatment (P>0.05);both groups had decreased neural function deficit score after treatment, with statistical significance (P<0.05);the experimental group had better improvement than that of the control group,with statistical significance (P<0.05).The experimental group had better therapeutic effect than that of the control group,with statistical significance (χ²=4.4928,P=0.0340).The total effective rate of life quality improvement was 97.5% in the ex-perimental group and 84.2%in the control group,with statistical significance (字2=4.2131,P=0.0401). Conclusion In line with the concept of minimal invasiveness,minimally invasive hematoma drainage can promote fast remission of neural function deficit symptoms and improve postoperative life quality.

关键词

微侵袭血肿引流术/高血压脑出血/临床疗效

Key words

Minimally invasive hematoma drainage/Hypertensive cerebral hemorrhage/Clinical efficacy

分类

医药卫生

引用本文复制引用

张永安,陈旭,余斌,龚绍慧,詹剑..微侵袭血肿引流术治疗高血压脑出血的效果观察[J].中国当代医药,2014,(24):47-49,3.

中国当代医药

1674-4721

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