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高压氧联合鼻内镜下微创手术治疗HICH的疗效分析

张龙

西南国防医药2017,Vol.27Issue(4):366-368,3.
西南国防医药2017,Vol.27Issue(4):366-368,3.DOI:10.3969/j.issn.1004-0188.2017.04.016

高压氧联合鼻内镜下微创手术治疗HICH的疗效分析

Efficacy of hyperbaric oxygen combined with nasal-endoscopic minimally invasive surgery in treatment of HICH

张龙1

作者信息

  • 1. 265600 山东 蓬莱,蓬莱市人民医院神经外科
  • 折叠

摘要

Abstract

Objective To explore the efficacy of hyperbaric oxygen combined with nasal-endoscopic minimally invasive surgery on the treatment of hypertensive intracerebral hemorrhage (HICH).Methods A total of 196 HICH patients who had received surgical treatment in our hospital were retrospectively analyzed and divided into group A(n =62,treated with routine large trauma craniotomy),group B (n=54,treated with simple nasal-endoscopic minimally invasive surgery) and group C (n=80,treated with hyperbaric oxygen with nasal-endoscopic minimally invasive surgery).The rehabilitation of neurological function and the quality of life in the three groups were compared after the six-month follow-up visit.Results Three patients in group A,two ones in group B and four ones in group C died,showing no statistical difference (P > 0.05);the ORR of NIHSS score in groups A,B and C was 66.1%,70.4% and 85.0%,respectively;the goodness rate of Barthel index score for ADL in groups A,B and C was 58.1%,64.8% and 80.0%,respectively.The two rates in group C were significantly higher than those in groups A and B (P < 0.05).Conclusion The efficacy of hyperbaric oxygen with nasal-endoscopic minimally invasive surgery on the treatment of HICH is better than that of simple nasal-endoscopic minimally invasive surgery or routine large trauma craniotomy.

关键词

脑出血/鼻内镜/微创手术/高压氧/疗效

Key words

intracerebral hemorrhage/nasal-endoscopic minimally invasive surgery/hyperbaric oxygen/efficacy

分类

医药卫生

引用本文复制引用

张龙..高压氧联合鼻内镜下微创手术治疗HICH的疗效分析[J].西南国防医药,2017,27(4):366-368,3.

西南国防医药

OACSTPCD

1004-0188

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