摘要
目的探讨分析采用不同方法治疗高血压脑出血（HICH）的效果。方法选取出血量在20～60mL的幕上HICH患者作为研究对象，对101例小血肿患者（20～30mL）分为保守治疗组（n=53）和微创软通道置管引流组（n=48），107例中等血肿患者（31～60mL）分为微创软通道置管引流组（n=62）和小骨窗组（n=45）。分析比较对应小组并发症发生率、再出血率以及近期（治疗后3周）和远期（治疗后1年）格拉斯哥预后评分（COS）、日常生活能力Barthel指数（BI）等指标。结果软通道置管引流组与对照组在并发症发生率、再出血率和死亡率比较差异均无统计学意义（P〉0．05），在小血肿组中两种治疗方法的近期、远期效果比较差异有统计学意义（P〈0．05），软通道置管引流组优于保守治疗组。而对于中等血肿组，软通道置管引流和小骨窗开颅两种方法近期疗效比较差异无统计学意义，远期疗效前者优于后者。结论软通道置管引流术有助于提高小、中等血肿的HICH患者临床效果，改善其预后。
Objective To explore the curative effect of different methods in the treatment of supratentorial hypertensive intracerebral hemorrhage （HICH）. Method The amount of bleeding in the 20 - 60 mL SHIH patients were selected as the research objects, the volumes of the hematomas ranged from 20 to 30 mL in 101 patients with HICH, who were divided intoconservative treatment group （n = 53） and soft channel catheter drainage group （n = 48）.The volume of the hematomas ranged from 31 to 60 mL in 107 patients with HICH, who were divided into soft channel drainage group （n = 62） and small bone window craniotomy group （n = 45 group）. The rates of the complications and rebleeding and the curative effects including GOS, Barthel index （BI） of activities of daily living and mortality 3 weeks and 1 year after the treatment were analyzed.Result There was no significant difference in the rates of the complications, rebleeding and mortality between the soft channel catheter drainage group and the control group （P 〉 0.05）.There were significant differences in the short-term and long-term effects of the two treatments in the small hematoma group, soft channel catheter drainage group was better than the conservative treatment group.And in the middle volume hematoma group, the short-term effect of soft channel drainage and small bone window craniotomy had no significant difference, the long-term effect of the former was better than that of the latter. Conclusion The soft channel catheter drainage was beneficial to the improvements of the prognosis in patients with small and middle volume hematoma induced by HICH.
出处
《中国急救医学》
CAS
CSCD
北大核心
2016年第12期1103-1106,共4页
Chinese Journal of Critical Care Medicine
