摘要
目的探析高血压脑出血患者经微创颅内血肿抽吸术治疗的临床疗效和神经功能情况。方法选取我院2015年4月至2017年12月间接收的92例高血压脑出血患者,按照随机数字表法分为对照组与研究组两组,每组46例。对照组采用常规内科治疗,研究组采用微创颅内血肿抽吸术治疗。观察比较两组患者的临床疗效及神经功能情况。结果治疗后1个月两组患者的斯堪的那维亚卒中量表评分较治疗前均明显降低,且研究组明显优于对照组(P <0. 05);随访3个月,研究组患者的格拉斯哥量表良好率为69. 57%显著高于对照组的50. 00%,而再出血率则低于对照组(P <0. 05)。结论实施微创颅内血肿抽吸术治疗高血压脑出血,治疗效果良好,患者的神经功能改善明显,再出血发生率有效降低。
Objective To explore the clinical efficacy and neurological function of patients with hypertensive intracerebral hemorrhage treated by minimally invasive intracranial hematoma aspiration. Methods 92 patients with hypertensive intracerebral hemorrhage received by 2015.4 - 2017. 12 in our hospital were selected. According to the random number table method,the control group and the study group were divided into two groups,46 cases in each group. The control group received routine medical treatment,while the study group was treated with minimally invasive intracranial hematoma aspiration. The clinical efficacy and neurological function of the two groups were observed and compared. Results The Scandinavian Stroke Scale （SSS） score of the two groups of patients in the 1 months after treatment was significantly lower than that before the treatment, and the study group was significantly better than the control group（P 〈 0. 05 ）. The follow-up of 3 months in the study group＇s Glasgow scale（ Glasgow coma scale, GOS）was 69. 57% significantly higher than that of the control group. 50% , and the rate of rebleeding was lower than that of the control group （ P 〈 0. 05）. Conclusion The implementation of minimally invasive intracranial hematoma aspiration treatment of hypertensive cerebral hemorrhage, the treatment effect is good,the patient＇s neurological function improved significantly, the incidence of rebleeding is effectively reduced.
作者
尹绍军
王水平
YIN Shaojun;WANG Shuiping(Pizhou gun car Central Hospital,Jiangsu Pizhou 221300;Department of Neurology,Pizhou Dongda hospital,Pizhou 221300,China)
出处
《中国老年保健医学》
2018年第5期57-59,共3页
Chinese Journal of Geriatric Care
关键词
高血压脑出血
微创颅内血肿抽吸术
神经功能
GOS
hypertensive cerebral hemorrhage
minimally invasive intracranial hematoma aspiration
nerve function
GOS
