[1]杨生琴.立体定向软通道颅内血肿清除术治疗高血压性脑出血患者近期神经功能恢复临床研究[J].陕西医学杂志,2019,(4):482-484.
　YANG Shengqin..Clinical research of neurological function in patients with hypertensive intracerebral hemorrhage by stereotactic soft channel intracranial hematoma evacuation[J].,2019,(4):482-484.
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立体定向软通道颅内血肿清除术治疗高血压性脑出血患者近期神经功能恢复临床研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年4期
页码:
482-484
栏目:
临床研究
出版日期:
2019-04-05

文章信息/Info

Title:
Clinical research of neurological function in patients with hypertensive intracerebral hemorrhage by stereotactic soft channel intracranial hematoma evacuation
文章编号:
DOI: 10.3969/j.issn.10007377.2019.04.021
作者:
杨生琴
青海省西宁市第一人民医院神经外科（西宁 810000）
Author(s):
YANG Shengqin.
Neurosurgery,Xining First People's Hospital of Qinghai Province (Xining 810000)
关键词:
高血压; 并发症; 脑出血; 神经功能; 立体定向软通道; 颅内血肿清除术; 对比研究
Keywords:
Key words Hypertensive;  Complication ; Neurological function;  Stereotaxic soft channel;  Intracranial hematoma removal; Comparative study
分类号:
R743.2
文献标志码:
A
摘要:
摘 要 目的：探讨立体定向软通道颅内血肿清除术治疗高血压性脑出血患者近期神经功能恢复情况的效果。方法：将收治的高血压性脑出血患者112例作为研究对象，随机的分为研究组和对照组各56例，研究组患者给予立体定向软通道颅内血肿清除术进行治疗，对照组患者行硬通道微创下颅内血肿清除术进行治疗，对比观察两组患者的临床疗效和近期神经功能恢复情况。结果：治疗后研究组患者临床总有效率为87.50%，存活率为96.43%，预后良好率为92.86%，明显高于对照组85.71%和69.64%、82.14%，组间比较差异具有统计学意义（P＜0.05）；两组治疗后NIHSS评分均下降，并且研究组降低幅度大于对照组（P＜0.05）。结论：立体定向软通道颅内血肿清除术对高血压性脑出血效果较为明显，术后生存率较高，患者近期神经功能和远期生活质量改善较为明显，可在临床范围内推广使用。
Abstract:
Abstract Objective：To investigate the effect of stereotactic soft channel intracranial hematoma evacuation on the recovery of neurological function in patients with hypertensive intracerebral hemorrhage. Methods：112 patients with hypertensive intracerebral hemorrhage were randomly divided into study group and control group (n= 56). The patients in the study group were given stereotactic soft channel Intracranial hematoma evacuation surgery, the control group of patients underwent microcirculation minimally invasive intracranial hematoma evacuation surgery, compared to observe the clinical efficacy of the two groups of patients and the recent recovery of neurological function.Results：The total effective rate was 87.50%, the survival rate was 96.43% and the prognosis was 92.86%, which was significantly higher than that of the control group (85.71%) and 69.64% (82.14%). The difference between the two groups was statistically significant (P<0.05). The NIHSS scores of the two groups were significantly lower than those of the control group (P<0.05).Conclusion：The stereotactic soft channel intracranial hematoma evacuation has a good clinical effect in patients with hypertensive intracerebral hemorrhage. The postoperative survival rate is higher, the neurological function and the long-term quality of life of the patients are improved obviously and can be promoted in the clinical scope use.

参考文献/References:

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更新日期/Last Update: 2019-04-10