立体定向联合显微手术治疗对高血压脑出血患者神经功能缺损的影响观察
投稿时间:2014-07-25  修订日期:2014-08-29  点此下载全文
引用本文:曾海燕.立体定向联合显微手术治疗对高血压脑出血患者神经功能缺损的影响观察[J].医学研究杂志,2015,44(2):144-147
DOI: 10.3969/j.issn.1673-548X.2015.02.040
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曾海燕 727000 陕西省铜川市人民医院神经外科 
中文摘要:目的 探讨针对高血压脑出血患者采用立体定向联合显微手术治疗的临床效果, 以及对患者神经功能缺损的影响。方法 将笔者医院2010年4月~2014年4月收治的74例高血压脑出血患者分为对照组与实验组各37例, 对照组仅给予立体定向穿刺引流治疗, 实验组在立体定向的基础上增用显微手术。观察两组病例治疗后的临床疗效以及神经功能缺损状况, 并进行统计学分析。结果 治疗后, 实验组病例的血肿量、神经功能缺损评分、生活独立活动指标评分与治疗有效率均明显好于对照组, 差异具有统计学意义(P<0.05)。结论 立体定向联合显微手术治疗高血压脑出血患者, 可有效清除血肿, 减少神经功能损伤。
中文关键词:立体定向  显微手术  高血压脑出血  神经功能缺损
 
Analysis of Effect of Stereotactic and Microsurgery on Neurologic Impairment of Patients with Hypertensive Cerebral Hemorrhage
Abstract:Objective To evaluate the effect of stereotactic and microsurgery on neurologic impairment of patients with hypertensive cerebral hemorrhage. Methods Totally 74 patients with hypertensive cerebral hemorrhage were treated in our hospital from April 2010 to April 2014. The samples were divided into control group and experimental group, each group with 37 cases. Patients in control group were treated with stereotactic operation, and the experimental group added with microsurgery. Results After treatment, the hematoma remove rate, the NIHSS score, ADL score and clinical efficacy in experimental group were better than control group, with statistical significance (P<0.05). Conclusion The hypertensive cerebral hemorrhage treatment with stereotactic and microsurgery can effectively remove the hematoma, reduce neurological damage.
keywords:Stereotactic  Microsurgery  Hypertensive cerebral hemorrhage  Neurologic impairment
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