摘要
目的 研究CT引导下的简易立体定向穿刺术对高血压性壳核出血患者运动功能恢复的影响。方法 65例高血压性壳核出血(血肿量20~30ml,Ⅰ、Ⅱ、Ⅲa、Ⅳa型)患者随机分为两组。穿刺组39例行CT引导下的简易立体定向穿刺术;保守组26例保守治疗,以患者入院时格拉斯哥昏迷评分(GCS)、运动功能恢复阶段(BMRS)评定及术后1、6个月时的BMRS评定为指标观察临床疗效。结果 穿刺组在术后1、6个月时,BMRS评定均好于保守组,差异有显著性(P〈0.01或P〈0.05),但差异性在减小。结论 对于高血压性壳核出血,CT引导下的简易立体定向穿剌束,可加速患者早期运动功能的恢复。
Objective To study the influence of computed tomographic-guided stereotaetic aspiration on motor recovery in the hypertensive putaminal hemorrhage (HPH). Methods 65 cases of HPH ( hematoma volume ranged from 20-30 ml, type Ⅰ ,Ⅱ , Ⅲ a and Ⅳa ) were randomly divided into two groups. 39 eases in aspiration group were treated surgically with simple CT-guidcd stcreotaetie aspiration, and 26 eases in conservative treatment group were treated conservatively. The outcomes of both groups were assessed in terms of Glaseow Coma Scale ( GCS ) on admission and Brunnstrom motor recovery stage (BMRS) and 1 or 6 months postoperative BMRS. Results BMRS was better in aspiration group than that in conservative group at 1 and 6 months after operation, with significant difference ( P 〈 0.01 or P 〈 0.05 for each ). But after 6 months, the statistical difference between them groups were lessened. Condusion CT-guided stereotactic aspiration for HPH may accelerate motor recovery in early stage of HPH.
出处
《中国综合临床》
北大核心
2006年第4期333-335,共3页
Clinical Medicine of China
关键词
壳核出血
立体定向穿刺术
BMRS
Putaminal hemorrhage
Stereotactie aspiration
Brunnstrom motor recovery stage