两种不同穿刺部位治疗高血压性脑出血的疗效对比

Comparison of two different puncture sites for treatment of hypertensive intracerebral hemorrhage

关键词:  定向引流  高血压性  颅内血肿

Key words:  [Key words]　directional drainage  hypertensive  intracranial hematoma

摘要:

[摘要]　目的　针对两种不同穿刺部位治疗高血压性脑出血的疗效进行对比，为合理选择颅内血肿的穿刺部位提供参考。 　方法　回顾性分析脑出血80例患者的临床资料，按穿刺部位分为两组：下1/3穿刺组与中心穿刺组各40例，下1/3穿刺组选择血肿下1/3引流，中心穿刺组选择血肿中心引流。观察两组术后并发症发生情况，根据GOS量表来评定疗效。　结果　两组术后均无死亡患者，其并发症结果如下：下1/3穿刺组（再出血1例，肺部感染1例，下肢静脉血栓形成0例，应激性溃疡2例），中心穿刺组（再出血4例，肺部感染6例，下肢静脉血栓形成1例，应激性溃疡5例）。下1/3穿刺组疗效优良率好于中心穿刺组（82.5% vs.52.5%）（P<0.05）。　结论　下1/3穿刺组血肿下1/3引流治疗脑出血可以高效引流血肿，降低致残率，提高预后疗效。

Abstract:

[Abstract]　Objective　To provide a reasonable method of selecting the site of puncture and to compare the efficacy of two different sites of puncture for treating hypertensive cerebral hemorrhage.　Methods　According to puncture site, 80 patients with hypertensive cerebral hemorrhage were randomly divided into the treatment group and the traditional group with 40 cases in each group. The method of draining from the paracenter of hematoma was used in the treatment group. The method of draining from the center of hematoma was carried in the traditional group.　Results　There was no postoperative mortality and complication results are as follows: re-bleeding 1 case, pulmonary infection 1 case, deep vein thrombosis 0 cases, stress ulcer 2 cases in the treatment group and re-bleeding 4 cases, pulmonary infection 6 cases, venous thrombosis formation 1 case, stress ulcer 5 cases in the traditional group. The efficacy of the treatment group is better than the traditional group (the excellent and good rate of 82.5% is better than 52.5%) (P<0.05).　Conclusion　The new therapy is more effective in draining hematoma and gets lower disability rate and better prognosis.