摘要
目的探讨因（15—30ml中小血肿）基底节区（BJR）高血压脑出血（HICH）内科保守治疗与立体定向脑内血肿抽吸术（SHA）的临床疗效。方法将66例基底节区高血压性脑出血患者按照数字表法随机分为两组，对照组33例给予常规保守治疗；观察组33例给予立体定向脑内血肿抽吸术治疗，术后则采取对照组治疗方法，并比较两组的临床疗效。结果两组患者无l例死亡，观察组患者并发症3例（9．09％），其中泌尿系感染1例、肺部感染1例、消化道出血1例；对照组患者并发症8例（23．24％），其中泌尿系感染2例、肺部感染4例、消化道出血2例；两组比较差异有统计学意义（x2=2．7273，P〈0．05）；观察组平均血肿消除时间显著短于对照组[（3．27±1．69）d比（11．46±3．87）d]，差异有统计学意义（t=-11．141，P〈0．05）；观察组住院时间显著短于对照组[（16．58±4．02）d比（22．14±4．85）d]，差异有统计学意义（t=-5．070，P〈0．05）；治疗后2W、4W及12W两组NIHSS评分均低于同组治疗前（P〈0．05）；观察组治疗后2W、4W显著低于对照组（P〈0．05）；而治疗后12W两组比较差异无统计学意义（P〉0．05）。结论立体定向脑内血肿抽吸术治疗基底节区高血压性脑出血创伤小，可以缩短血肿消除时间、减少患者住院时间、减少并发症发生率，促进神经功能早期恢复，有效的提高生活质量。
Objective To investigate the clinical efficacy of conservative treatment and stereotactic hematoma aspiration （SHA） in basal ganglia （B JR） hypertensive intracerebral hemorrhage （HICH） （15-30 ml small and medium hematoma）. Methods Sixty-six patients with hypertensive intracerebral hemorrhage were randomly divided into two groups according to the digital table method. 33 cases in the control group were treated with conventional conservative therapy, while 33 cases in the observation group were treated with stereotactic brain hematoma aspiration and conventional conservative therapy. The clinical efficacy of the two groups were compared. Results There was no dead case in the two groups. The complication rate was 9.09% （3/33） in the observation group, including 1 case of urinary tract infection, 1 case of pulmonary infection, 1 case of gastrointestinal bleeding; the complication rate was 23.24% （8/33） in the control group, including 2 cases of urinary tract infection, 4 cases of pulmonary infection, 2 cases of gastrointestinal bleeding; there was statistically significant difference in the complication rate between the two groups （X 2=2.7273, P〈0.05）. The time of hematoma absorption in the observation group was significantly shorter than that in the control group [（3.27＋-1.69）d vs.（11.46＋-3.87）d], with statistically significant difference （t=-11.141, P〈0.05）. The length of hospital stay in the observation group was significantly shorter than that in the control group [（16.58＋-4.02）d vs.（22.14＋-4.85）d], with statistically significant difference （t= -5.070, P〈0.05）. NIHSS scores at 2, 4, and 12 weeks after treatment were lower than that before treatment in the two groups （P〈0.05）, NIHSS scores at 2, 4 weeks after treatment in the observation group were lower than those in the control group （P〈0.05）, there was no statistically significant difference in the NIHSS score between the two groups at 12 weeks after treatment （P〉0.05）. Conclusi
出处
《国际医药卫生导报》
2017年第14期2218-2221,共4页
International Medicine and Health Guidance News
关键词
高血压脑出血
基底节区
立体定向脑内血肿抽吸术
保守治疗
Hypertensive intracerebral hemorrhage
Basal ganglia
Stereotactic brain hematoma aspiration
Conservative treatment
