摘要
目的分析微创清除术治疗重症高血压脑出血的治疗效果。方法将高血压脑出血患者按治疗方法分成微创术组和保守组，其中微创术组40例，保守组38侧。治疗期问记录意识障碍恢复时间、血肿清除情况及甘露醇用量，随访1个月，进行神经功能缺损程度评分。结果微创术组意识障碍恢复时间1～7d，血肿清除时间1～5d，甘露醇用量200～300g，神经功能缺损评分由（40.87±0.99）改善为（9.21±0.01）；保守组意识障碍恢复时间4～15d，血肿清除时间18～30d，甘露醇用量1250～1500g，神经功能缺损评分由（39.15±1.25）改善为（24.15±0.5）。2组比较，意识障碍恢复时间、血肿清除情况、甘露醇用量及神经功能缺损程度评分差异有显著意义（P〈0.05）。结论微创清除术治疗重症高血压脑出血患者意识障碍恢复时间早，甘露醇用量少，神经功能缺损改善明显，足脑出血治疗中值得广泛推广的一种方法。
Objective To analyze the effect of micro-injury haematoma cleaning operation on cerebral hemorrhage caused by severe hy-pertension. Methods Cerebral hemorrhage patients caused by severe hypertension were divided into two groups：40 cases accepted haematoma cleaning（ operation group） ,38 accepted drug therapy（ drug group）. The time of consciousness restoration, disappearance of haematoma and the dosage of mannitol were recorded during therapy. After 1 month followup, assessment of neural functional deficit was carried out. Results In op-eration group,the time of consciousness restoration was 1 to 7 days,the time of disappearance of haematoma was 1 to 5 days,the dosage of manni-tol was 200 to 300g, assessment value of neural function deficits was from （40.87±0.99 ）to （9.21±0. 01 ） ;while in drug group, the time of con-sciousness restoration was 4 to 15 days,the time of disappearance of haematoma was 18 to 30 days,the dosage of mannitol was 1250 to 1500 g, assessment value of neural function deficit was from（ 39.15±1.25 ） to（ 24.15±0.5 ）. There were statistic differences（ P 〈 0. 05 ） between two groups. Conclusions Micro-injury haematoma cleaning operation on cerebral hemorrhage caused by severe hypertension can shorten the time of consciousness restoratlon,reduce the dosage of mannitol and improve the neural function deficits,and it is worth generalizing.
出处
《中国厂矿医学》
2007年第4期332-333,共2页
Chinese Medicine of Factory and Mine
关键词
颅内血肿微刨清除术
脑出血
高血压性
治疗
手术时机
Micro-injury intracranlal haematoma cleaning
Hypertenslve cerebral hemorrhage
Therapy
