摘要
目的评价微创颅内血肿粉碎穿刺加高压氧综合疗法对降低高血压性脑出血患者致残率的疗效。方法对136例高血压性脑出血患者随机分为微创颅内血肿粉碎穿刺加高压氧治疗组(HBO组)86例,单用微创颅内血肿粉碎穿刺术组(对照组)50例。观察早期疗效及随访2个月后日常生活能力恢复。结果HBO组无效率为2.33%显著低于对照组的14.00%,治愈率为31.39%显著高于对照组的10.00%;2个月后随访HBO组日常生活独立完成率为24.42%显著高于对照组的6.00%,完全依赖率1.16%显著低于对照组8.00%。结论尽早施行微创颅内血肿粉碎穿刺加高压氧治疗高血压性脑出血可显著提高有效率,明显减少致残率。
Objective To evaluate the effect for declining disabled rate of hypertonie cerebral hemorrhage with hyperbaric oxygenation after minimally invasive hemotoma smash puncture.Methods A total of 136 cases of hypertensive cerebral hemorrhage were randomly divided into two groups: ① HBO group (86 cases):the patients treated with hyperbaric oxygenation after minimally invasive hemotoma smash puncture treatment;② control group (50 cases):the patients simply treated with hemotoma smash puncture. The effects in early stage and outcomes of daily living ability following-up of 2 months were observed on two groups.Results The ineffective rate in HBO group(2.33%) was significantly lower than in control group (14.00%). The cure rate in HBO group (31.39%) was significantly higher than in control group (10.00%). After following-up of 2 months, the independently completing daily live rate in HBO group (24.42%) was significantly higher than in control group (6.00%). While the rate of whole rely on others in HBO group(1.16%) was lower than in control group(8.00%).Conclusion Minimally invasive hemotoma smash puncture combined with hyperbaric oxygenation.h can increase the effect rate and especially reduce the disability rate in the treatment of hypertensive cerebral hemorrhage.
出处
《实用医药杂志》
2005年第12期1074-1075,共2页
Practical Journal of Medicine & Pharmacy
关键词
脑出血
血肿粉碎穿刺术
高压氧
Cerebral hemorrhage Hemotoma smash puncture Hyperbaric oxygenation