摘要
目的 比较简易经额定向穿刺术与传统手术治疗高血压基底节区脑出血的临床疗效.方法 将88例高血压基底节区脑出血患者按手术方案分为经额穿刺组（49例）和骨瓣开颅组（39例）,术后1个月采用格拉斯哥昏迷指数评定近期疗效,术后6个月采用Barthel指数评定远期疗效,统计并比较两组并发症发生状况. 结果 经额穿刺组颅内再出血、肺部感染、癫痫发生率均显著低于骨瓣开颅组（P〈0.05或0.01）,两组颅内感染发生率比较差异无统计学意义（P〉0.05）.术后1个月,经额穿刺组死亡率显著低于骨瓣开颅组（P〈0.05）,近期预后优良率显著高于骨瓣开颅组（P〈0.05）;术后6个月,远期预后优良率高于骨瓣开颅组但差异无统计学意义（P〉0.05）.结论 与传统手术相比,简易经额定向穿刺术治疗高血压基底节区脑出血并发症发生率、死亡率明显降低,近期、远期预后较好.
Objective To compare the efficacy of simplified transfrontal stereotactic aspiration （STSA） vs.traditional operation for hypertensive basal ganglia hemorrhage （HBGH）.Methods Eighty-eight HBGH patients were divided into STSA （n=49） and craniotomy with bone flap （CBF） group （n=39） according to operation program, short-term efficacies evaluated using Glasgow Coma Scale （GCS） within month 1 after operation, long-term efficacies done using Barthel Index （BI） within month 6, and complications added up and compared between 2 groups.Results The incidences of rehaemorrhagia, pulmonary infection and epilepsy were significantly lower in STSA than in CBF group （P〈0.05 or 0.01） and there was no significant group difference in the incidence of intracranial infection （P〉0.05）.Within month 1 after operation death rate was significantly lower （P〈0.05） and fineness rate of short-term prognosis higher （P〈0.05） in STSA than in CBF group;within month 6 fineness rate of long-term prognosis was higher in STSA than in CBF group, but difference wasn＇t significant （P〉0.05）.Conclusion The incidences of complications and death rate of STSA for HBGH are obviously lower and short-and long-term prognoses better compared with traditional operation.
作者
许长平
Xu Changping(Anyang Hospital of Traditional Chinese Medicine, Anyang 455000, Henan, Chin)
出处
《临床心身疾病杂志》
CAS
2017年第3期33-35,共3页
Journal of Clinical Psychosomatic Diseases
