【作者】 李晓赓；

【导师】 连树林；

【作者基本信息】 长春中医药大学 ， 临床医学， 2012， 硕士

【摘要】 目的：观察方体定向置软管血肿排空术联合醒脑静救治重型高血压性脑出血临床疗效。方法：选取吉林大学白求恩第一医院符合临床诊断标准的45例患者，随机分为对照组、治疗组，对照组采用方体定向置软管血肿排空术治疗脑出血，治疗组在对照组基础上加用醒脑静注射液20ml入5%葡萄糖或0.9%氯化钠注射液500ml中静滴,每日1次。观察各组在有效率、死亡率、昏迷时间、并发症例数、脑血肿消除时间及临床综合疗效，进行对照研究。结果：经治疗后，两组有效率、死亡率比较无明显差别，然而两组在缩短昏迷时间、减少并发症例数、缩短脑血肿消除时间、临床综合疗效上比较均有明显差别，治疗组均优于对照组（P<0.05）。结论：两组在有效率、死亡率上无明显差异,但在缩短昏迷时间、减少并发症例数、缩短脑血肿消除时间、临床综合疗效方面,方体定向置软管血肿排空术联合醒脑静救治重型高血压性脑出血临床疗效明显优于对照组。更多还原

【Abstract】 Objective: To observe the cube orientation set hose the hematoma emptying surgeryXingnaojing treat severe hypertensive intracerebral hemorrhage clinical efficacy.Methods: Bethune First Hospital of Jilin University of clinical diagnostic criteria in45patients, randomized into control group, treatment group and control group directed set ofcube hose the hematoma emptying the treatment of cerebral hemorrhage, the treatment groupin the control group on the basis of add20ml into XNJI5%glucose or normal salineintravenous infusion in500ml,1time a day. Observed in each group in an efficient, mortality,duration of coma, complications, number of cases, brain hematoma eliminate and clinicalefficacy, were studied as controls.Results: After treatment，Two sets of efficiency、mortality was no significant difference，However, two groups, there were significant differences in clinical effects in shortening theduration of coma, reduce complications in the number of cases, shorten the elimination of brain hematoma,Treatment group than the control group (P <0.05).Conclusion: The two efficiency, no significant difference in mortality, However, toshorten the duration of coma, reduce the number of complications in patients, to reduce brainhematoma to eliminate time and clinical effects, side body directional set hose hematomaemptying combined with Xingnaojing treatment of severe hypertensive cerebral hemorrhagewere significantly better than the control group.更多还原