CT定位下微创穿刺治疗高血压基底节区脑出血临床研究.pdfVIP

中外医疗2016 NO.28 ChinaForeignMedicalTreatment DOI：10.16662/j.cnki.1674-0742.2016.28.188 CT定位下微创穿刺治疗高血压基底节区脑出血 临床研究 姜莉华,张丽 济南市第二人民医院内科,山东济南 250001 [摘要] 目的探究、CT定位下微创穿刺治疗高血压基底节区脑出血临床效果。方法方便选取该院2013年2月—2015 年2月收治的170例高血压基底节脑出血患者,按照患者住院的先后顺序,分成观察组和对照组,各85例。观察组通 过CT定位下微创穿刺治疗,对照组给予常规开颅血肿清除术治疗,对比两组病死率及治疗前后GCS评分差异。 结 果 观察组病死率4.71%(4/85),对照组病死率7.06%(6/85),组间比较差异无统计学意义,P﹥0.05。 观察组患者治疗前 GCS评分(7.09±2.38)分,治疗后为(9.83±2.34)分；对照组患者治疗前GCS评分(6.22±2.74)分,治疗后为(8.35±3.61) 分；两组治疗前GCS评分比较差异无统计学意义(P0.05),治疗后观察组明显优于对照组(P0.05),差异有统计学意 义。 结论高血压基底节脑出血,经CT定位下微创穿刺治疗,临床效果较佳,具有重要的临床价值。 [关键词] CT定位；微创穿刺治疗；高血压基底节区脑出血 [中图分类号] R651.1 [文献标识码]A [文章编号]1674-0742(2016)10(a)-0188-03 ClinicalStudyofMinimallyInvasivePunctureintheTreatmentofHyper- tensiveBasalGangliaHemorrhagebyCT JIANGLi-hua,ZHANGLi JinanSecondPeoplesHospitalInternalMedicine,Jinan,ShandongProvince,250001China [Abstract]Objective Toexploretheclinicaleffectofminimallyinvasivepunctureinthetreatmentofhypertensivebasal gangliahemorrhagebyCT.Methods Convenientselection170casesofhypertensivebasalgangliaintracerebralhemorrhage inourhospitalfromFebruary2013toFebruary2015inweredividedintoobservationgroupandcontrolgroupaccordingto theorderofhospitalization,eachof85cases.ObservationgroupbyCTminimallyinvasivepuncturetreatment,thecontrol groupwasgivenconventionalcraniotomyhematomaremovaltreatment,comparedwiththetwogroupsofclinicalresults. Results Themortalityrateoftheobservationgroupwas4.71% (4/85),thecontrolgroupwas7.06% (6/85),thedifference wasnotstatisticallysignificant,thedifferencewasnotstatistically significant,P0.05.Theobservationgroupofpatientsbe- foretreatmentGCSscore (7.09±2.38),aftertreatmentfor (9.83±2.34);thecontrolgroupofpatientsbeforetreatmentGCS score (6.22±2.74),aftertreatment