摘要
目的:探讨TCD诊断对高血压脑出血术后预后的价值。方法:2004年6月-2012年12月收治高血压脑出血患者75例,血肿量30~80 ml,分为颅内动脉狭窄组(A组)和正常组(B组);各组均行微创或去骨瓣减压术,术后各组均给予脱水、止血、营养支持等治疗;术后3天、7天、15天计算水肿面积,采用ADL分级法评估6个月时神经功能恢复情况。结果:A组3天、7天、15天时水肿体积大于B组,差异有统计学意义(P<0.05);B组术后6个月ADL分级法评估神经功能恢复情况好于A组,差异有统计学意义(P<0.05)。结论:术后颅内血管TCD诊断对预测高血压脑出血预后有一定临床价值。
Objective:To investigate the effect of TCD diagnosis on the prognosis of hypertensive cerebral hemorrhage after surgery.Methods:75 cases with hypertensive cerebral hemorrhage from June 2004 to December 2012.The hematoma volume ranged from 30 to 80 ml.They were divided into the intracranial artery stenosis group(A group) and the normal group(B group).All of them were given the minimally invasive or decompressive craniectomy,and were given the dehydration,hemostatic,nutritional support treatment after the operation.We calculated the edema area for 3 days,7 days,15 days after operation,We assessed the recovery of neurological function after 6 months by ADL classification method.Results: The edema volume of 3 days,7 days,15 days in the A group were longer than that in the B group,and The difference was statistically significant(P<0.05).The June ADL classification method to assess the recovery of nerve function in B group is better than that of the A group,and The difference was statistically significant(P<0.05).Conclusion:The diagnosis of intracranial vascular TCD after the operation has a certain clinical value on the prediction of prognosis of patients with hypertensive intracerebral hemorrhage.
关键词
TCD
高血压脑出血
预后
TCD
Hypertensive cerebral hemorrhage
The prognosis
