文章摘要
李军尧,李力军,刘利波.颅内血肿微创清除术治疗6小时内急性脑出血效果的临床研究[J].中国临床保健杂志,2019,22(1):48-50.
颅内血肿微创清除术治疗6小时内急性脑出血效果的临床研究
Research progress of two different surgical treatments for patients within acute intracerebral hemorrhage within 6 hours
投稿时间：2017-11-20  
DOI：10.3969/J.issn.1672-6790.2019.01.014
中文关键词: 脑出血  神经外科手术  血肿,硬膜下,颅内  预后
英文关键词: Cerebral hemorrhage  Neurosurgical procedures  Hematoma,subdural,intracranial  Prognosis 〖FL
基金项目:
作者单位E-mail
李军尧 广州军区武汉总医院急诊科,武汉 430070 mfrt639@163.com 
李力军 广州军区武汉总医院急诊科,武汉 430070  
刘利波 广州军区武汉总医院急诊科,武汉 430070  
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中文摘要:
      目的 观察颅内血肿微创清除术对6 h内急性脑出血患者预后的影响。方法 选取6 h内急性脑出血患者66例,按随机数字表法分为对照组33例,给予小骨窗血肿清除术治疗；观察组33例,给予颅内血肿微创清除术治疗。观察两组患者手术时间、术中出血量、血肿完全清除率、血肿复发率,并进行哥拉斯哥预后评分(GOS)和日常生活能力量表评分(ADL)。结果 与对照组比较,观察组患者手术时间明显缩短(t=21.770,P<0.001),术中出血量减少(χ2=34.977,P<0.001),血肿完全清除率增高[χ2=4.694,P=0.030],血肿复发率降低[P=0.027],预后有效率明显升高[χ2=6.548,P=0.011],术后躯体生活自理表评分减小(t=7.842,P<0.001),术后工具性日常生活活动量表评分减小(t=4.069,P<0.001),日常生活能力明显改善。结论 颅内血肿微创清除术对6 h内的急性脑出血患者临床疗效更好,能明显提高生存期及生存质量。
英文摘要:
      Objective To observe the effect of two different surgical treatments for patients within acute intracerebral hemorrhage within 6 hours.Methods 66 cases of patients with acute cerebral hemorrhage within 6 hours were divided.33 cases in control group were treated with small bone window hematoma,33 cases in the observation group were given minimally invasive surgery for intracranial vascular,the operation time,intraoperative blood loss,hematoma complete clearance rate and hematoma recurrence rate were observed after operation.The postoperative evaluation of GOS and ADL was performed.Results Compared with the control group,the operation time of the observation group was significantly shortened ( t=21.770,P<0.001),the amount of bleeding decreased(χ2=34.977,P<0.001),the hematoma clearance rate increased[χ2=4.694,P=0.030],the recurrence rate of hematoma decreased[P=0.027],the prognosis efficiency increased significantly[χ2=6.548,P=0.011],the postoperative PSMA score decreased( t=7.842,P<0.001),postoperative IADL score decreased(t=4.069,P<0.001),and the postoperative daily living ability improved significantly.Conclusion Intracranial vascular minimally invasive surgery for patients within 6 hours of acute cerebral hemorrhage has better clinical efficacy,which can significantly improve the survival rate and quality of life.
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