摘要
目的探讨超早期软通道微创颅内血肿清除术治疗高血压脑出血的临床效果。方法选择本院收治的首次发病且于6小时内入院的高血压脑出血患者100例为研究对象,将其随机分为软通道组(软通道微创颅内血肿清除术治疗)和硬通组(硬通道颅内血肿清除术治疗),每组各50例。所有患者均于入院6小时内行不同方式微创治疗及常规治疗,比较两组患者治疗前后美国国立卫生研究院卒中量表(NIHSS)评分、血清超敏C反应蛋白(hs-CRP)水平、血肿清除时间、血肿清除率及残余血肿体积。结果治疗后软通道组患者血肿清除时间显著短于硬通道组(P<0.05),同时间点残余血肿体积明显小于硬通道组,血肿清除率高于硬通道组(P<0.05)。软通道组患者治疗后NIHSS评分及血清hs-CRP水平均显著下降,且同时间点NIHSS评分及血清hs-CRP水平均低于硬通道组(P<0.05)。结论超早期软通道微创颅内血肿清除术能够显著提高血肿清除率,缩短血肿压迫时间,减少继发性脑损伤。
Objective To investigate the therapeutic effect of super-early soft channel minimally invasive evacuation of intracranial hematoma in the treatment of patients with hypertensive cerebral hemorrhage.Method 100 patients with hypertensive cerebral hemorrhage who were admitted to our hospital for the first time and 6 hours were selected as the research objects.All patients were randomly divided into soft channel group（adopted soft channel minimally invasive evacuation of intracranial hematoma） and hard channel group（adopted hard channel evacuation of intracranial hematoma）,50 cases in each group.NIHSS score,hs-CRP levels,hematoma clearance time,hematoma clearance rates and residual hematoma volume were compared between the two groups before and after treatment.Result After treatment,the hematoma clearance time of soft channel group was significantly shorter than hard channel group（P〈0.05）,the residual hematoma volume was significantly less than hard channel group（P〈0.05）,and the hematoma clearance rate was significantly higher than hard channel group（P〈0.05）;the NIHSS score and hs-CRP level significantly declined,and at the same time point,the NIHSS score and hs-CRP level were lower than hard channel group（P〈0.05）.Conclusion The super-early soft channel minimally invasive evacuation of intracranial hematoma can improve the hematoma clearance rate,reduce the time of hematoma compression,and reduce the secondary brain injury.
出处
《中国医学前沿杂志（电子版）》
2015年第10期102-105,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
关键词
高血压脑出血
软通道微创颅内血肿清除术
继发性脑损伤
Hypertensive cerebral hemorrhage
Soft channel minimally invasive evacuation of intracranial hematoma
Secondary brain injury
