摘要
目的探讨亚低温联合微创穿刺碎吸术治疗高血压脑出血临床效果。方法选取我院2012-04—2013-10收治的68例高血压脑出血患者为研究对象,随机分为实验组和对照组。对照组采用微创穿刺碎吸术进行治疗,实验组在此基础上采用亚低温进行辅助治疗,比较2组患者CCS评分、并发症发生率和临床治疗效果。结果治疗后2组患者CSS评分均得到明显改善,但实验组CSS评分显著优于对照组,差异有统计学意义(P<0.05)。实验组治疗效果显著优于对照组,差异有统计学意义(P<0.05)。实验组无发生MODS,对照组发生5例,2组MODS发生率比较差异有统计学意义(P<0.05)。实验组并发症总发生率显著低于对照组,差异有统计学意义(P<0.05)。结论高血压脑出血患者应用亚低温辅助微创穿刺碎吸术进行治疗可获得较好神经功能恢复效果,致死致残率低,临床效果较为理想。
Objective To investigate the clinical effect of minimally invasive aspiration based on mild hypothermia in treat‐ment of hypertensive cerebral hemorrhage.Methods 68 cases with hypertensive cerebral hemorrhage from April 2012 to Octo‐ber 2013 in our hospital were chosen as the experimental objects and were divided into experimental group and control group. The control group were treated with minimally invasive aspiration ,the experimental group were treated with mild hypo‐thermia on the basis of control group. GCS scores , complications and clinical therapeutic effect of two group were com‐pared.Results The GCS scores of two groups after treatment were significantly improved ,but results in the experimental group was significantly better than that in the control group ,with statistical difference（P〈0.05）. Treatment effect of patients in the experimental group was significantly better than that in the control group （P〈0.05）. The total rate of complications in the experimental group were significantly lower than that in the control group （P〈0.05）. Conclusion Minimally invasive as‐piration based on mild hypothermia in treatment of hypertensive cerebral hemorrhage has better recovery of neurological func‐tion ,with lower mortality rate and higher clinical effect.
出处
《中国实用神经疾病杂志》
2015年第9期14-16,共3页
Chinese Journal of Practical Nervous Diseases
关键词
微创穿刺碎吸术
亚低温
高血压脑出血
Minimally invasive aspiration
Mild hypothermia
Hypertensive cerebral hemorrhage
