论文部分内容阅读
目的 :应用颅骨钻孔置管尿激酶引流术治疗高血压脑出血 (实验组 )与颅骨钻孔抽吸术治疗高血压脑出血(对照组 )进行回顾性对照研究 ,了解两种不同方法对该病疗效及预后方面的差异。方法 :对 1997年～ 1999年应用该方法治疗 6 4例与 1991年～ 1996年应用颅骨钻孔抽吸术治疗 6 4例进行回顾性对比分析。结果 :实验组总的有效率及生活质量 (ADL )明显优于对照组 ,特别是出血量大 (>6 0 m L )者。实验组总死亡率低于对照组 ,有统计学意义 (P<0 .0 5 )。结论 :颅骨钻孔置管尿激酶引流术治疗高血压脑出血能更好提高患者的生活质量和降低死亡率。
OBJECTIVE: To retrospectively compare the effects of skull drilling and urokinase drainage in the treatment of hypertensive intracerebral hemorrhage (experimental group) and skull drilling aspiration in patients with hypertensive intracerebral hemorrhage (control group), and to understand the differences between the two methods Disease efficacy and prognosis differences. Methods: A retrospective comparative analysis of 64 cases treated with this method from 1997 to 1999 and 64 cases treated with skull drilling aspiration from 1991 to 1996 were retrospectively analyzed. Results: The total effective rate and quality of life (ADL) in the experimental group were significantly better than those in the control group, especially those with large amount of bleeding (> 60 m L). The total mortality of experimental group was lower than that of control group, with statistical significance (P <0.05). CONCLUSIONS: Cranial drilling catheter urokinase drainage for the treatment of hypertensive intracerebral hemorrhage can better improve the quality of life of patients and reduce mortality.