医学临床研究
  2025年4月6日 星期日           首 页    |    期刊简介    |    编委会    |    投稿指南    |    期刊订阅    |    广告合作    |    留言板    |    联系我们    |    English
医学临床研究  2020, Vol. 37 Issue (9): 1326-1329    DOI: 10.3969/j.issn.1671-7171.2020.09.015
  论著 本期目录 | 过刊浏览 | 高级检索 |
开颅血肿清除联合脑室外引流治疗高血压脑出血破入脑室的临床疗效观察
高一凯1, 袁越2, 殷长江1
1.山东省立第三医院,山东 济南 250031;
2.山东第一医科大学第一附属医院,山东 济南 250014
Effect of Craniotomy Hematoma Evacuation Combined with Extraventricular Drainage in the Treatment of Hypertensive Cerebral Hemorrhage into Ventricle
GAO Yi-kai, YUAN Yue, YIN Chang-jiang
Shandong Provincial Third Hospital,Jinan Shandong, 250031,China
全文: PDF (0 KB)   HTML (0 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 【目的】 探讨开颅血肿清除联合脑室外引流治疗高血压脑出血破入脑室的临床疗效。【方法】 回顾性分析2016年1月至2018年5月本院收治的100例高血压脑出血破入脑室患者的临床资料,根据手术方法的不同将其分为观察组(行开颅血肿清除联合脑室外引流手术治疗)和对照组(行单纯脑室外引流手术治疗),每组各50例。比较两组患者手术前后不同时间点的格拉斯哥昏迷评分(GCS)、颅内压(ICP)水平。并比较手术前、手术后2周两组患者血清氨基末端脑钠肽前体(NT-proBNP)、高迁移率族蛋白1(HMGB-1)水平,应用改良Rankin量表问卷(MRS)评估两组预后情况并记录两组患者手术并发症发生情况。【结果】 术后3 d、7 d,观察组患者GCS评分高于对照组,ICP水平低于对照组,差异均有统计学意义(P<0.05)。术后2周,观察组患者血清NT-proBNP、HMGB-1水平均低于对照组,差异均有统计学意义(P<0.05)。术后3个月,观察组患者预后良好率为58.00%(29/50),高于对照组患者的38.00%(19/50),差异有统计学意义(χ2=4.006,P=0.045<0.05)。观察组患者的并发症发生率为14.00%(7/50),低于对照组患者的22.00%(11/50),差异无统计学意义(χ2=4.006,P=0.298>0.05)。【结论】 高血压脑出血破入脑室的患者采用开颅血肿清除联合脑室外引流治疗的效果优于单纯脑室外引流手术,有利于患者血脑屏障恢复,可较好地改善患者的预后。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
高一凯
袁越
殷长江
关键词 高血压/并发症脑出血/外科学脑室    
Abstract【Objective】 To investigate the clinical effect of craniotomy hematoma removal combined with extraventricular drainage in the treatment of hypertensive intracerebral hemorrhage into ventricle . 【Methods】 A retrospective analysis was performed on 100 patients with hypertensive cerebral hemorrhage who underwent surgery in our hospital from January 2016 to May 2018. Among them, 50 patients in the observation group were treated with craniotomy hematoma evacuation and extraventricular drainage, while 50 patients in the control group were treated with simple craniotomy hematoma clearance only. Glasgow coma score (GCS) and intracranial pressure (ICP) were compared between the two groups at different time points before and after surgery. The serum N-terminal pro-brain natriuretic peptide (NT-proBNP) and high mobility group box 1 protein (HMGB-1) levels of the two groups were analyzed before and 2 weeks after surgery. Prognosis and surgical complications were evaluated by the modified Rankin scale questionnaire (MRS) at 6 months postoperatively. 【Results】 There were no significant differences in GCS scores and ICP measurements between the two groups before and 1 day after surgery (P>0.05). The GCS scores of the observation group at 3 days and 7 days after surgery were higher than those of the control group, while the ICP values of the observation group were lower than those of the control group (P<0.05). There was no significant difference between the two groups in the determination of NT-proBNP and HMGB1 before operation (P>0.05). At 2 weeks after surgery, the levels of NT-proBNP and HMGB1 in the observation group were lower than those in the control group (P<0.05). At 3 months after operation, the prognosis rate of the observation group was 58.00% (29/50), which was higher than that of group B (38.00%, 19/50). The difference was statistically significant (χ2=4.006, P=0.045<0.05). The complication rate in the observation group was 14.00% (7/50) , which was lower than 22.00% (11/50) in the control group, however, the difference was not statistically significant (χ2=4.006,P=0.298>0.05). 【Conclusion】 In patients with hypertensive cerebral hemorrhage breaking into the ventricle, the effect of treatment with craniotomy hematoma evacuation combined with extraventricular drainage is superior to the treatment with extraventricular drainage alone. It is beneficial to the recovery of blood-brain barrier and the prognosis of patients.
Key wordsHypertension/CO    Cerebral Hemorrhage/SU    Cerebral Ventricles
收稿日期: 2018-11-19     
PACS:  R544.1  
通讯作者: E-mail:xtxw2008@126.com   
引用本文:   
高一凯, 袁越, 殷长江. 开颅血肿清除联合脑室外引流治疗高血压脑出血破入脑室的临床疗效观察[J]. 医学临床研究, 2020, 37(9): 1326-1329.
GAO Yi-kai, YUAN Yue, YIN Chang-jiang. Effect of Craniotomy Hematoma Evacuation Combined with Extraventricular Drainage in the Treatment of Hypertensive Cerebral Hemorrhage into Ventricle. JOURNAL OF CLINICAL RESEARCH, 2020, 37(9): 1326-1329.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.09.015     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I9/1326
版权所有 © 2013 医学临床研究杂志社  湘ICP备13012052号-1
办公地址:湖南省长沙市芙蓉区新军路43号煤炭大院主办公楼6楼621、623、632、636室 邮编:410011 电话(传真):0731-84824007 E-mail:jcr_cs.hn@vip.163.com
技术支持:北京玛格泰克科技发展有限公司 技术支持:support@magtech.com.cn