局部亚低温联合血肿清除术治疗外伤性脑内血肿的临床疗效观察

目的:探讨局部亚低温联合血肿清除术治疗外伤性脑内血肿患者的临床疗效。方法:选择我院收治的外伤性脑内血肿患者89例,均给予血肿清除术治疗,其中47例接受血肿清除术联合局部亚低温治疗,评价和比较两组治疗后的临床疗效,术前及术后1天、1周、2周的美国国立卫生研究院卒中量表(NIHSS)评分和血肿体积。结果:治疗组有效率为93.6%,明显高于对照组(P0.05);治疗组术后1天、1周、2周的NIHSS评分明显高于对照组(P0.05),血肿大小明显小于对照组(P0.05)。结论:局部亚低温联合血肿清除术治疗外伤性脑内血肿能有效减轻患者脑部损害,提高患者神经功能。

Observation on the Clinic Effect of r-MHT and Hematoma Aspiration on the Traumatic Intracerebral Hematoma

ABSTRACT Objective: To investigate the clinic effect of r-MHT and hematoma aspiration on the traumatic intracerebral hematoma. Methods: 89 cases with traumatic intracerebral hematoma were given hematoma aspiration, 47 of them were given r-MHT and hematoma aspiration, the clinic effect on the 1st, 7th, 14th day after treatment were evaluated by NIHSS, the hematoma volume before treatment on the 1st, 7th, 14th day after treatment were counted by Dotian formula. Results: The effective rate of treatment group was 93.6%, which was significantly higher than that of the control group (P<0.05). The NIHSS score of treatment group was significantly higher than that of the control group(P<0.05) on the 1st day, 1st, 2nd week after treatment (P<0.05). Conclusion: r-MHT and hematoma aspiration couldn ef- fectively reduce the brain damage, improve the patient''s neurological function in treating traumatic intracerebral hematoma.