摘要
目的:探讨颅内血肿微创清除术联合亚低温治疗重症高血压脑出血的临床疗效。方法:选择重症高血压脑出血患者134例,随机分为观察组和对照组,每组67例,对照组患者采用微创颅内血肿清除术进行治疗,观察组患者在对照组的基础上加用亚低温治疗。对两组患者的临床治疗效果及术后日常生活活动能力进行比较分析。结果:与对照组相比,观察组患者基本痊愈率和总有效率明显提高,分别为26.87%和70.15%,恶化率和死亡率明显降低,仅为2.98%和11.94%,差别均具有统计学意义(P<0.05)。与此同时,与对照组相比,观察组患者术后30d和90dBarthel指数均明显提高,差别均具有统计学意义(P<0.05)。结论:颅内血肿清除术联合亚低温对于重症高血压脑出血患者具有显著的治疗效果,能够有效提高患者的生活质量,具有十分重要的临床应用价值。
Objective：To probe into the clinical effect of intracranial hematoma minimally invasive removal combined with mild hypothermia therapy to treat severe hypertensive cerebral hemorrhage. Methods：Selected December 2006 to December 2011, 134 severe hypertensive cerebral hemorrhage patients in our hospital. The patients were divided into observation group and control group randomly, there were 67 cases in each group. The patients in control group were treated with intracranial hematoma minimally inva- sire removal. The patients in control group were treated with mild hypothermia therapy on the basis of control group. The patients in two groups were compared and analyzed of clinical efficacy and postoperative activities of daily living. Results ： Compared with control group, patients in observe group recovered rate and the total efficiency rate were improved significantly, up to 26.87% and 70. 15 %, and deterioration and mortality rates were sigaificantly lower, only 2.98 % and 11.94 % , there were statistically significant （P〈0.05）. At the same time, compared with control group, patients in observe group 30d and 90d Barthel indexes were significantly improved, there were statistically significant （P〈0.05）. Conclusion： Intracranial hematoma minimally invasive removal combined with mild hypothermia therapy has significant treatment effect for patients with severe hypertensive cerebral hemorrhage. It can effectively improve the quality of life of patients. It has important clinical value.
出处
《亚太传统医药》
2012年第12期131-132,共2页
Asia-Pacific Traditional Medicine
关键词
颅内血肿微创清除术
亚低温
重症高血压脑出血
临床疗效
Intracranial Hematoma Minimally Invasive Removal
Mild Hypothermia
Severe Hypertensive Cerebral Hemorrhage
