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目的 探讨治疗创伤对高血压性脑出血患者血糖及近期预后的影响。方法 采用局麻血肿穿刺抽吸治疗 (治疗组 32例 )及全麻外科手术血肿清除治疗 (对照组 30例 ) ,比较术后的血糖变化。结果 治疗组血肿穿刺抽吸后血糖高峰值水平显著低于对照组 (P <0 .0 1) ,而治疗后第 1,2周血糖降至正常者治疗组显著高于对照组 (P <0 .0 5) ,病死率治疗组 6.2 5% ,对照组 2 6.7% ,两组比较差异显著(P <0 .0 5)。结论 高血压性脑出血患者血肿穿刺抽吸治疗较外科手术血肿清除治疗有血糖峰值低、恢复正常的速度快、病死率低 ,对脑组织的损伤小等优点 ,值得临床推广。
Objective To investigate the effect of trauma on blood glucose and short-term prognosis of patients with hypertensive cerebral hemorrhage. Methods The patients were treated with local anesthesia with aspiration and suction therapy (treatment group, 32 cases) and general anesthesia with hematoma removal (control group, 30 cases). The postoperative blood glucose was compared. Results The heights of blood glucose in the treatment group were significantly lower than those in the control group (P <0.01), while those in the control group were significantly lower than those in the control group (P <0 01) .05). The case fatality rate was 6.2% in the treatment group and 6.7% in the control group. There was significant difference between the two groups (P <0.05). Conclusion Hematoma aspiration in patients with hypertensive intracerebral hemorrhage than the surgical treatment of hematoma clearance treatment with low peak blood sugar, return to normal speed, low mortality, damage to brain tissue, etc., worthy of clinical promotion.