穿刺引流微创术联合术后尿激酶溶解治疗高血压性脑出血患者的效果分析

doi:10.3969/j.issn.10073205.2018.10.010

摘要/Abstract

摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗观察穿刺引流微创术联合术后尿激酶溶解对高血压性脑出血患者的治疗效果以及对并发症和预后的影响。
〖HTH〗方法〖HTSS〗〖KG*2〗选取高血压性脑出血患者118例随机分为观察组和对照组，对照组行传统开颅手术进行治疗，观察组行穿刺引流微创术联合术后尿激酶溶解进行治疗，比较2组治疗效果、近期生存率、并发症发生率以及治疗前后的生活质量评分。
〖HTH〗结果〖HTSS〗〖KG*2〗观察组治疗效果及近期生存率均明显优于或高于对照组，并发症发生率明显低于对照组（P＜005）。治疗后，2组躯体功能、心理功能、社会功能评分明显高于治疗前，观察组躯体功能、心理功能、社会功能评分明显高于对照组（P＜005）。
〖HTH〗结论〖HTSS〗〖KG*2〗穿刺引流微创术联合术后尿激酶溶解治疗高血压性脑出血取得了较好的效果，有利于缓解临床症状，提高生存率，降低并发症发生率，改善治疗后的生活质量，对患者身体恢复有积极影响，值得在临床中应用和推广。

关键词: 颅内出血, 高血压性, 引流术, 尿激酶

Abstract: ［Abstract］〓Objective〖HTSS〗〓To analyze the effect of minimally invasive operation combined with postoperative urokinase treatment on hypertensive intracerebral hemorrhage and its influences on patients′ complications and prognosis.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓A total of 118 cases of patients with hypertensive intracerebral hemorrhage were randomly divided into the observation group and control group. The control group was treated with traditional craniotomy surgery. The observation group was administrated minimally invasive puncture drainage combined with postoperative urokinase dissolution. Then the treatment effect, recent survival rate, complication rate, and quality of life scores before and after treatment were compared between the two groups.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The treatment effect and recent survival rate of the observation group were significantly higher than those of the control group, while the incidence of complications in the observation group was significantly lower than that of the control group(P＜005). After treatment, the scores of somatic function, psychological function and social function in the two groups were significantly higher than before treatment. The scores of physical function, psychological function and social function in the observation group were significantly higher than those of the control group(P＜005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Minimally invasive puncture drainage combined with the treatment of postoperative urokinase dissolution has achieved a good therapeutic effect in the treatment of hypertensive cerebral hemorrhage with lower rate of complications. It not only can improve the clinical symptoms and the quality of life after treatment, but also has a positive impact on the recovery of patients′ health. It should be widely applied and promoted in clinical practices.

Key words: intracranial hemorrhage, hypertensive, drainage, urokinase

刘宏志. 穿刺引流微创术联合术后尿激酶溶解治疗高血压性脑出血患者的效果分析[J]. 河北医科大学学报, doi: 10.3969/j.issn.10073205.2018.10.010.

LIU Hongzhi. Effects of minimally invasive puncture drainage combined with postoperative urokinase dissolution on patients with hypertensive cerebral hemorrhage[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2018.10.010.

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穿刺引流微创术联合术后尿激酶溶解治疗高血压性脑出血患者的效果分析

Effects of minimally invasive puncture drainage combined with postoperative urokinase dissolution on patients with hypertensive cerebral hemorrhage

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