摘要
目的:探讨中老年高血压性脑出血患者血肿破入脑室的治疗方法及临床效果。方法:收集66例高血压性脑出血破入脑室的中老年患者临床资料,其中24例采取保守治疗(A组),20例行侧脑室外引流术合并颅内压检测治疗(B组),22例行传统开颅手术治疗(C组),分析3种治疗方法的临床效果。结果:所有患者均随访3~12月,根据格拉斯哥预后评分(GOS)评估疗效。B组的致残致死率、存活患者脑积水发生率及平均住院时间均明显低于A组和C组(P<0.05),A、C组之间比较差异无统计学意义(P>0.05)。结论:针对中老年高血压性脑出血破入脑室,侧脑室外引流合并颅内压检测可降低患者的致残致死率、住院时间及脑积水发生率,改善患者预后。
Objective： To study treatment and clinical effects of middle-aged and elder patients with hypertensive cerebral hemorrhage and hematoma breaking into ventricles. Methods： A total of middle-aged and elder 66 patients with hypertensive cerebral hemorrhage and hematoma breaking into ventricles were separated into three groups, 24 cases were given conservative treatment（Group A）, 20 cases were given lateral external drainage with ICP monitoring（Group B）, 22 cases were given traditional operation（Group C）. The clinical effect was compared among the 3 groups. Results： All cases were followed up for 3-12 months, curative effect was evaluated accord- ing to Glasgow Outcome Scale（GOS）. Morbidity and mortality, the hydrocephalus＇ s incidence and average hos- pitalization time of survival in Group B were significantly lower than those in the Groups A and C （P〈0.05）, and there was no significant difference between the Groups A and C （P〉0.05）. Conclusion： For middle-aged and elder patients with hypertensive cerebral hemorrhage and hematoma breaking into ventricles, the treatment of lateral external drainage with ICP monitoring could reduce morbidity and mortality, hydrocephalus＇ s incidence and average hospitalization time, improve the prognosis.
出处
《神经损伤与功能重建》
2017年第6期493-496,共4页
Neural Injury and Functional Reconstruction
基金
国家自然科学基金(No.81400975)
关键词
中年
老年
高血压脑出血
脑室
治疗
预后
middle age
ageing
hypertensive cerebral hemorrhage
ventricles
treatment
prognosis
