100例高血压合并脑出血患者不同手术治疗方法临床对照研究The clinical compare study of different operation treatment method in 100 hypertension cerebral hemorrhage patients
江辉;张程赪;
摘要(Abstract)：
目的:分析高血压合并脑出血患者不同临床治疗方法的疗效。方法:对内科保守治疗、颅内血肿微创清除治疗、外科手术治疗100例患者进行回顾性分析。结果:手术治疗和微创治疗相比差异有显著性(P<0.05)。手术治疗与微创治疗的治愈率相比差异无显著性(P>0.05)。3组患者的病死率差异均无显著性(P>0.05)。结论:手术治疗和微创治疗的治愈率与保守治疗相比均有显著差异,有手术指征的患者还是应积极争取超早期手术治疗。同时应针对微创血肿抽吸引流术不同的病情和病程,建立规范化和程序化的急诊、内科及外科综合治疗模式,以提高疗效。
关键词(KeyWords)： 颅内出血;高血压性;血肿;抽吸;引流术
基金项目(Foundation):
作者(Author): 江辉;张程赪;
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参考文献(References)：
- [1]胡长林,吕勇涛,李志超.颅内血肿微创清除技术规范化治疗指南[M].北京:中国协和医科大学出版社,2003:3.
- [2]陈灏珠.实用内科学[M].第10版.北京:人民卫生出版社,1997:2214-2216.
- [3]Frank J IRopper Ah,Zuniga G.Acute intracranial lesions and res-pirato-ry sinus arrhythmia.Arch Neurol,1992,49:1200-1203.
- [4]Cohn JN.Abnormalities of peripheral sympathetic nervous systemcontrol in congestive heart failure[J].Circulation,1990,82(sup-pl):59-67.
- [5]Guzzetti S,Dassi S,Pecis M,et al.Altered pattern of circadianneural control of heart period in mild hypertention[J].J Hyper-tens,1991,9:831-838.
- [6]Goldstein DS.Plasma catecholamines and essential hypertension:An analytical review[J].Hypertension,1983,5:86-89.
- [7]Singh JP,Larson MG,Tsuji H,et al.Reduced Heart rate variabilityand new-onset hypertension:insights into pathogenesis of hyper-tension[J].Hy-pertension,1998,32:293-297.
- [8]Bristow JD,Honour AJ,Pickering GW,et al.Diminished baroreflexsen-sitivity in high blood pressure[J].Circulation,1969,39:48-54.
- [9]Gribbin B,Pickering TG,Sleight P,et al.Effect of age and highblood pressure on baroreflex sentivity in man[J].Cirs Res,1971,29:424-431.