高血压脑出血灶不同CT值对于治疗方案选择的影响

The effect of different CT value on the selection of therapies for hypertensive intracerebral hemorrhage

目的探讨高血压脑出血灶不同CT值对于治疗方案选择的影响。方法选择2012年9月至2015年9月在子长县医院治疗的高血压脑出血患者40例为研究对象,以CT值65为界,将其分为CT值≥65患者16例,CT值<65患者24例,组内再分为药物保守治疗组和穿刺引流术组,对比各组治疗效果。结果 CT值≥65患者中,穿刺引流术组(9例)血肿消失时间、住院时间均明显优于药物保守组(7例),差异均有统计学意义(P<0.05),组间肢体恢复情况比较,差异无统计学意义(P>0.05);CT值<65患者中,穿刺引流术组(14例)血肿消失时间、住院时间及出院时肢体恢复情况均优于药物保守组(10例)(P<0.05)。结论血肿CT值<65的高血压脑出血患者可采用穿刺引流术治疗,血肿CT值≥65的患者无论应用药物保守治疗和手术治疗,预后都无明显差异。

Objective To investigate the effect of different CT value on the selection of therapies for hypertensive intracerebral hemorrhage. Methods Forty cases of patients with hypertensive intracerebral hemorrhage were selected in people＇s hospital of Zichang county from April 2012 to April 2016, and divided into CT value≥65 group （16 cases） and CT value 〈65 （24 cases）. Then the patients in the two groups were further divided into medicine treatment group and puncture drainage operation group. The curative effect of the pantients were compared. Results In CT value ≥65 group, the hematoma disappearance time and hospital stay in medicine treatment group （7 cases） were significantly longer than those in puncture drainage operation group （9 cases） （P〈0.05）, while the limb rehabilitation had no significant difference between the two groups （P〉0.05）. In CT value〈65 group, all observational indexes in puncture drainage operation group （14 cases） were significantly superior to that in medicine treatment group （10 cases） （P〈0.05）. Conclusion Puncture drainage operation is more suitable for patients with hypertensive intracerebral hemorrhage whose CT value〈65. For the patient whose CT value ≥65, either medicine treatment or puncture drainage operation could be chosen, because there is no significant difference in the prognosis of the disease.