摘要
目的探讨老年患者非大量高血压性脑基底节区出血（20~40mL）患者采用不同治疗方式的短期（4周内）疗效及病死率和神经功能缺损的变化情况。方法对2010-06—2013-06我院收治的非大量（20~40mL）高血压性脑基底节区出血56例老年患者进行回顾性分析,随机分为微创引流治疗24例（微创组）和非手术组32例（内科组）,观察4周后疗效情况。结果发病4周内,微创组死亡3例（12.50%）,内科组死亡9例（28.13%）,微创组病死率低于内科组,但差异无统计学意义（χ2=1.989,P〉0.05）;针对存活4周的患者,入院时2组患者神经功能缺损评分（NIHSS）差异无统计学意义（t=0.724,P〉0.05）;2周时微创组平均神经功能缺损评分10±5,内科组为13±6,差异有统计学意义（t=2.038,P〈0.05）;4周时平均神经功能缺损评分8±4,内科组为11±5,差异有统计学意义（t=2.493,P〈0.05）。结论微创治疗非大量老年脑基底节区出血,可改善2周及4周时的神经功能缺损,值得临床重视。
Objective To investigate the short period（in 4 weeks）clinical effect of contrast on the elderly non-massive （20~40mL）hepertensive cerebral hemorrhage of basal ganglia region by different ways of treatment and to observe the case fatality rate of patients and the change of nerve function defect change.Methods A retrospective analysis on the 56 elderly non-massive （20~40 mL） hemorrhage of basal ganglia region patients in the neurology departments from June 2010 to June 2013 in our hospital ,24 cases were treated by minimally invasive drain（minimally invasive group） ,and 32 cases were in the non-surgical group （internal medicine group）;the curative effect was observed through comparative analysis 4 weeks later.Results Three cases died （12.50% ） in the minimally invasive group ,and 9 cases died（28.13% ） in the conservative group after 4 weeks.The fatality rate of the minimally invasive group was lower than the internal medicine group ,but the mortality had no statistical difference between the minimally invasive group and the internal medicine group （χ2 =1.989 ,P〉0.05）.Aiming at all the patients survived more than 4 weeks.There was no statistical difference average National Institute of Health stroke scale （NIHSS）between the minimally invasive group and the internal medicine group at admission（t=0.724 ,P〉0.05）.The 2 weeks＇average NIHSS of the minimally invasive group was 10 ± 5 ,and the average NIHSS of the internal medicine group was 13 ± 6.There was a significant statistical difference（t=2.038 ,P〈0.05）. The 4 weeks＇average NIHSS of the minimally invasive group was 8 ± 4 ,and the NIHSS of the internal medicine group was 11 ± 5.There was a significant statistical difference （t=2.493 ,P〈0.05）.Conclusion The minimal invasive drain in the treatment of elderly non-massive hemorrhage of basal ganglia region patients ,can reduce the neurologic impairment of the second week and the fourth week ,and it is worthy of clinical attention.
出处
《中国实用神经疾病杂志》
2014年第11期43-45,共3页
Chinese Journal of Practical Nervous Diseases
关键词
老年
微创
脑出血
Elderly
Minimal invasive
Cerebral hemorrhage
