微创血肿清除术对脑出血患者临床及血清炎性细胞因子含量的影响
投稿时间:2009-12-25    点此下载全文
引用本文:尤群生.微创血肿清除术对脑出血患者临床及血清炎性细胞因子含量的影响[J].医学研究杂志,2010,39(5):102-104
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尤群生 河南省三门峡市中心医院神经内科 
中文摘要:目的探讨微创血肿清除术对脑出血患者临床及血清炎性细胞因子含量的影响。方法将60例急性高血压ICH患者随机分为两组,两组患者均给予常规治疗,微创组在常规治疗基础上进行血肿微创清除手术,检测两组治疗前及治疗后第7天、14天血清hs-CRP、IL-6、TNF-α含量的变化,并对神经功能缺损进行评分。结果两组患者血清hs-CRP、IL-6、TNF-α含量比较,治疗后第7天、14天微创组均明显低于对照组(P<0.05,P<0.01);两组神经功能缺损评分比较,治疗后第14天微创组明显低于对照组 (P<0.01);微创组总有效率明显高于对照组 (P<0.01)。结论高血压性脑出血急性期血清中hs-CRP、IL-6、TNF-α含量增加,表明其参与了脑出血的病理生理过程。微创血肿清除术有效降低hs-CRP、IL-6、TNF-α含量而改善脑出血的预后。
中文关键词:高血压  脑出血  微创血肿清除术  超敏C反应蛋白  白细胞介素-6  肿瘤坏死因子-α
 
Effect of Minimally Invasive Hematoma on Clinical Practice and Serum Levels of Inflammatory Cytokines in Patients with Hypertensive Intracerebral Hemorrhage
Abstract:ObjectiveTo investigate the effect of minimally invasive hematoma on clinical and serum levels of inflammatory cytokines in patients with hypertensive intracerebral hemorrhage. Methods60 patients with acute ICH and hypertension were randomly divided into two groups.All patients were given conventional treatment patients. In minimally invasive group,patients were treated with minimally invasive hematoma removal operation on the basis of conventional therapy.Before treatment and 7 days, 14 days after treatment, serum hs-CRP, IL-6, TNF-α contents of patients in two groups were tested, and the neurological deficit scores were evaluated. ResultsOn the 7 days, 14 days after treatment,the serum hs-CRP, IL-6, TNF-α content in the minimally invasive group were significantly lower than those in the control group (P<0.05,P<0.01).On the 14 days after treatment,the neurological function deficit score in the minimally invasive group was significantly lower than that in control group (P<0.01).The total effective rate of the minimally invasive group was significantly higher than that of control group (P<0.01). ConclusionThe serum hs-CRP, IL-6, TNF-α was increased in the acute stage of hypertensive cerebral hemorrhage,which indicated that they participated in the pathophysiological process of cerebral hemorrhage. Minimally invasive hematoma operation could reduce hs-CRP, IL-6, TNF-α levels and thus to improve the prognosis of cerebral hemorrhage.
keywords:Hypertension  Cerebral hemorrhage  Minimally invasive hematoma  High-sensitivity C-reactive protein  Interleukin -6  Tumor necrosis factor-α
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