| 黄斌.锥颅穿刺抽吸引流血肿清除术治疗老年高血压脑出血的效果评价[J].实用中西医结合临床,2016,16(9): |
| 锥颅穿刺抽吸引流血肿清除术治疗老年高血压脑出血的效果评价 |
| Evaluation of the effect of puncture and aspiration for the treatment of hypertensive cerebral hemorrhage in elderly patients |
| 投稿时间：2016-08-13 修订日期：2016-09-10 |
| DOI： |
| 中文关键词: 锥颅穿刺抽吸引流血肿清除术 老年 高血压脑出血 |
| 英文关键词: removal of puncture and aspiration of the cone skull elderly patients hypertensive intracerebral hemorrhage |
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| 中文摘要: |
| 目的 探讨老年高血压脑出血（HCH）应用锥颅穿刺抽吸引流血肿清除术治疗的临床效果。方法 选取我院2014年1月~2016年2月收治的94例老年HCH患者，按照随机数字表法均分为两组。对照组：行常规开颅血肿清除术；观察组：行锥颅穿刺抽吸引流血肿清除术。记录比较两组手术时间、住院时间、住院费用、术后7d时血肿清除率等手术情况，术后6个月时格拉斯哥预后量表（GOS）评分效果，术后并发症情况。结果 观察组手术时间、住院时间及住院费用均显著低于对照组（P<0.01），术后7d时血肿清除率显著高于对照组（P<0.01）；经Ridit分析知，术后6个月时观察组GOS评分效果较对照组相比，明显更优（P<0.05）；观察组术后并发症总发生率为36.17%与对照组的31.91%比较，差异无统计学意义（P>0.05）。结论 老年HCH应用锥颅穿刺抽吸引流血肿清除术更有利于减小创伤，提高血肿清除率，降低医疗成本，改善预后，且安全有效，具有较高临床推广价值。 |
| 英文摘要: |
| Objective: To investigate the clinical effect of the treatment of hypertensive intracerebral hemorrhage (HCH) in elderly patients with aspiration and drainage of the cone skull.Methods: Select 94 elderly patients with HCH treated in our hospital from January 2014 to February 2016 as the research object. According to the random number table method, the numbers were randomly divided into the control group and the observation group. The control group: routine craniotomy hematoma removal; The observation group: the line of puncture and aspiration of the puncture and aspiration of the puncture and aspiration of the skull. To record and compare the operation time, length of stay, cost of hospitalization, the rate of hematoma evacuation after 7d between the two groups. And to observe the effect of Glasgow prognosis scale (GOS) score at 6 months after operation and the postoperative complications. Results: The operation time, length of stay and hospital costs in the observation group were significantly lower than those in the control group (P<0.01), and the rate of hematoma after 7d was significantly higher than that in the control group (P<0.01). By Ridit analysis, 6 months after surgery, the GOS score of the observation group was significantly better than that of the control group (P<0.05); The incidence of postoperative complications in the observation group was 36.17% compared with 31.91% in the control group, the difference was not statistically significant (P>0.05).Conclusions: The application of HCH in the elderly patients with puncture and aspiration of the puncture and aspiration of the cone is more favorable to reduce trauma, improve the hematoma clearance rate, reduce the medical cost, improve the prognosis, and is safe and effective, and has high clinical value. |
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