摘要
目的探讨脑出血微创血肿穿刺术治疗的手术时机对临床预后的影响。方法选取157例典型高血压脑出血患者,均行微创钻颅血肿清除术,按手术实施时间分为三组:A组(6h内手术者)53例;B组(7～24h内手术者)60例;C组(>24h手术者)44例。比较三组患者术后1个月的意识恢复、神经功能缺失及死亡情况。结果 A、B两组患者意识恢复良好者多于C组(P<0.05);在患者神经功能缺失评价中,A组患功能缺失低于B、C组(P<0.05),B组低于C组(P<0.05);三组患者死亡事件发生率无显著差异。结论有手术适应证的脑出血患者,在6h内行超早期颅内血肿钻孔抽吸引流术对患者的预后有重要意义。
Objective To investigate the optimal time window for minimally invasive aspiration and drainage of the hematoma in patients with intracerebral hemorrhage.Methods 157 cases with hypertensive cerebral hemorrhage receivedminimally invasive aspiration and drainage operation and they were divided into 3 groups according to the time when the operations were performed： Group A（n=53）,receiving the operations within 6 hours,Group B（n=60）,receiving the operations within 7 to 24 hours and Group C（n=44）,receiving the operations after 24 hours;the recovery of consciousness,disability and death 1 month after operation in 3 groups were compared.Results Patients in Group A and Group B showed a better recovery of consciousness than those in Group C（P0.05）;The difference of CSS after treated between ultra-early stage group and early stage group was remarkable.（P0.05）.the mortality in 3 groups was of no obvious difference.Conclusion Operations should be given to patients with hypertensive cerebral hemorrhage as soon as possible,early operation may raise the successful rate of remedy and decrease the rate of disability.
出处
《中国医药指南》
2012年第33期50-51,共2页
Guide of China Medicine
关键词
高血压脑出血
微创血肿清除
手术时机
神经功能缺损分值
Hypertensive cerebral hemorrhage
Minimally Invasive Operation
Optimal operation Time
CCS
