| 黄斌 徐靖 张福春.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):7-8,13 |
| 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 |
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| DOI： |
| 中文关键词: 高血压脑出血 血肿清除术 锥颅穿刺抽吸引流 老年 |
| 英文关键词: Hypertensive cerebral hemorrhage Hematoma clearing Puncture and aspiration Elderly patients |
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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1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7 d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7 d血肿清除率显著高于对照组（P＜0.01）；经Ridit分析，术后6个月观察组GOS评分效果明显优于对照组（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 hypertensive cerebral hemorrhage (HCH) in elderly patients treated by puncture and aspiration. Methods: 94 Elderly patients with HCH were treated in our hospital from January 2014 to January 2016 as the research object. According to the random number table method, the patients were randomly divided into the control group and the observation group. The control group was treated by routine craniotomy hematoma clearing; the observation group was treated by puncture and aspiration. The operation time, hospitalization time, cost of hospitalization, the rate of hematoma clearing after 7 d between the two groups were compared. And the Glasgow prognosis scale (GOS) score at 6 months after operation and the postoperative complications were observed. Results: The operation time, hospitalization time and cost of hospitalization of the observation group were significantly lower than those in the control group (P＜0.01), and the rate of hematoma clearing after 7 d was significantly higher than that in the control group (P＜0.01). The GOS score at 6 months after operation 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 puncture and aspiration treatment of the elderly patients with HCH is more favorable to reduce trauma, improve the hematoma clearing rate, reduce the cost of hospitalization, improve the prognosis, and is safe and effective, has high clinical value. |
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