The treatment of hy-pertensive cerebral hemorrhage(HCH)by activatingblood circulation to removestasis(ABCRS)is a newtherapeutic approach,which is initiated by clinical specialists of TCM andintegrative Chinese andwest...The treatment of hy-pertensive cerebral hemorrhage(HCH)by activatingblood circulation to removestasis(ABCRS)is a newtherapeutic approach,which is initiated by clinical specialists of TCM andintegrative Chinese andwestern medicine.Al-though it is not a flawless展开更多
This article summarizes the postoperative care plan for patients with hypertensive intracerebral hemorrhage(HICH).Nursing strategies are analyzed in terms of the level of consciousness,pupil care,vital sign care,tempe...This article summarizes the postoperative care plan for patients with hypertensive intracerebral hemorrhage(HICH).Nursing strategies are analyzed in terms of the level of consciousness,pupil care,vital sign care,temperature care,complication care,and early rehabilitation care,with the goal of providing reference for follow-up care of HICH patients.展开更多
BACKGROUND Cerebral hemorrhage is a common and severe complication of hypertension in middle-aged and elderly men.AIM To investigate the correlation between vascular endothelial growth factor(VEGF)and cortisol(Cor)and...BACKGROUND Cerebral hemorrhage is a common and severe complication of hypertension in middle-aged and elderly men.AIM To investigate the correlation between vascular endothelial growth factor(VEGF)and cortisol(Cor)and the prognosis of patients with hypertensive cerebral hemorrhage.METHODS A hundred patients with hypertensive intracerebral hemorrhage were enrolled from January 2020 to December 2022 and assigned to the hypertensive intracerebral hemorrhage group.Another 100 healthy people who were examined at our hospital during the same period were selected and assigned to the healthy group.Peripheral venous blood was collected,and serum Cor and VGEF levels were measured through enzyme linked immunosorbent assay.RESULTS A statistically significant difference in serum Cor and VGEF levels was observed among patients with varying degrees of neurological impairment(P<0.05).Serum Cor and VGEF levels were significantly higher in the severe group than in the mild-to-moderate group.Cor and VEGF levels were significantly higher in patients with poor prognoses than in those with good prognoses.Multiple logistic regression analysis revealed that serum Cor and VGEF levels were independent factors affecting hypertensive intracerebral hemorrhage(P<0.05).CONCLUSION Cor and VGEF are associated with the occurrence and development of hypertensive cerebral hemorrhage and are significantly associated with neurological impairment and prognosis of patients.展开更多
Objective. To observe the clinical efficacy and mechanism of Zhuyu Tongfu （逐瘀通腑, ZYTF） Serial Recipe combined with acupuncture and massotherapy in treating hypertensive cerebral hemorrhage （HCH）. Methods： One...Objective. To observe the clinical efficacy and mechanism of Zhuyu Tongfu （逐瘀通腑, ZYTF） Serial Recipe combined with acupuncture and massotherapy in treating hypertensive cerebral hemorrhage （HCH）. Methods： One hundred and eighteen patients with hypertensive cerebral hemorrhage, on the basis of conventional Western medicine treatment, were randomly divided into ZYTF combined with acupuncture and massotherapy group （treated group） and simple Western medicine group （control group） ; the clinical efficacy, neurofunction deficit scoring （NDS） alterations and hematoma absorption rate of both groups were observed, and also the plasma superoxide dismutase （SOD） activity, plasma lipid peroxidase （LPO） content, erythrocyte glutathion peroxidase （GSH-Px） activity, hematocrit （Ht） and the whole blood viscosity （Va） change were also observed. Results： In the treated group, the clinical efficacy, NDS improvement and hematoma absorption rate were superior to that of the control group; comparison between the two groups after treatment showed that plasma SOD activity and GSH-Px activity got more elevated and plasma LPO content, Ht and Va more lowered in the the treated group than those in the control group. Cenclusien： ZYTF combined with acupuncture and massotherapy has better effect, its therapeutic mechanism was possibly correlated to the elevation of plasma SOD activity, GSH-Px activity and lowering of plasma LPO content, Ht and Va.展开更多
Background Hypertensive cerebral hemorrhage （HCH） is an important cerebrovascular disease that poses significant threat to the health of human being, with high incidence and mortality. With the development of mini- ...Background Hypertensive cerebral hemorrhage （HCH） is an important cerebrovascular disease that poses significant threat to the health of human being, with high incidence and mortality. With the development of mini- mally invasive techniques, individualized surgical treatment of HCH is very common. Method During 2003- 2012, according to the condition of using craniotomy, hematoma in small bone window craniotomy and hematoma for treatment of 162 cases of hypertensive cerebral hemorrhage patients. Results Among 162 patients with HCH in our study, 24 had recurrent hemorrhage after surgery, with an incidence of recurrent hemorrhage of 14.8%. Among the 24 recurrent hemorrhages, 22 had hemorrhage in primary hematoma site and two subdural hematomas. Among these patients, 16 died, with a mortality of 9.8%. Death rate and recurrent hemorrhage in the small bone window group were lower than that in the craniotomy group, and ＂the difference reached statistical significance （P 〈 0.05）. Conclusions Individuation in treatment of hypertension must be correctly estimated based on disease condition, comprehensive judgment, selection of appropriate treatment options. Even if that we would reduce mortality, improve the success rate of operation and living quality.展开更多
目的分析立体定向颅内血肿穿刺引流术与保守治疗幕上中等量(15~40 mL)自发性高血压脑出血的疗效及安全性。方法根据设定的检索策略,检索中国知网、万方、维普、中国生物医学文献服务系统、PubMed、Cochranelibrary、Embase、Web of scie...目的分析立体定向颅内血肿穿刺引流术与保守治疗幕上中等量(15~40 mL)自发性高血压脑出血的疗效及安全性。方法根据设定的检索策略,检索中国知网、万方、维普、中国生物医学文献服务系统、PubMed、Cochranelibrary、Embase、Web of science数据库,利用RevMan5.4软件对纳入的研究按照不同观察指标[平均住院时间、平均住院费用、血肿清除率、美国国立卫生研究院卒中量表(NIHSS)评分、术后并发症、预后评分、病死率]进行Meta分析。结果收集符合标准的12篇文献,共1264例高血压脑出血病例,其中进行立体定向手术(立体定向组)681例,保守治疗(保守治疗组)583例。两组患者在手术后消化道出血发生率比较,差异无统计学意义(OR=1.19,95%CI:0.36~3.89,P>0.05)。与保守治疗组比较,立体定向组在平均住院时间和住院费用、血肿清除率、术后NIHSS评分、术后并发症、预后评分、病死率方面更有优势,差异有统计学意义(P<0.05)。结论立体定向颅内血肿穿刺引流术是治疗中等量高血压性脑出血的一种微创手术方法,较保守治疗效果确切,并发症发生率更低,利于临床开展,更能使患者获益。展开更多
目的 评价药物联合康复治疗对高血压性脑出血的疗效。方法 目的选取滕州市工人医院神经内科于2022年4月—2023年4月收治的76例高血压性脑出血患者为研究对象,按照治疗方式不同,分为药物组和康复组,每组28例。药物组接受药物治疗,康复组...目的 评价药物联合康复治疗对高血压性脑出血的疗效。方法 目的选取滕州市工人医院神经内科于2022年4月—2023年4月收治的76例高血压性脑出血患者为研究对象,按照治疗方式不同,分为药物组和康复组,每组28例。药物组接受药物治疗,康复组接受药物联合康复治疗,比较两组的神经系统功能评分和日常生活能力评分,以及并发症的发生率的差异。结果 康复组治疗后的美国国立卫生研究院卒中量表评分(National Institute of Health Stroke Scale,NIHSS)小于药物组,差异有统计学意义(P<0.05);日常生活能力量表(Activity of Daily Living Scale,ADL)评分大于药物组,差异有统计学意义(P<0.05);康复组无并发症发生,药物组的并发症发生率为15.79%(6/38),差异有统计学意义(χ^(2)=4.607,P=0.031)。结论 药物联合康复治疗下的高血压性脑出血患者,神经功能得到改善,日常生活能力较好,并且发生并发症的概率较小。药物联合康复治疗对于高血压性脑出血的患者较适用。展开更多
文摘The treatment of hy-pertensive cerebral hemorrhage(HCH)by activatingblood circulation to removestasis(ABCRS)is a newtherapeutic approach,which is initiated by clinical specialists of TCM andintegrative Chinese andwestern medicine.Al-though it is not a flawless
文摘This article summarizes the postoperative care plan for patients with hypertensive intracerebral hemorrhage(HICH).Nursing strategies are analyzed in terms of the level of consciousness,pupil care,vital sign care,temperature care,complication care,and early rehabilitation care,with the goal of providing reference for follow-up care of HICH patients.
文摘BACKGROUND Cerebral hemorrhage is a common and severe complication of hypertension in middle-aged and elderly men.AIM To investigate the correlation between vascular endothelial growth factor(VEGF)and cortisol(Cor)and the prognosis of patients with hypertensive cerebral hemorrhage.METHODS A hundred patients with hypertensive intracerebral hemorrhage were enrolled from January 2020 to December 2022 and assigned to the hypertensive intracerebral hemorrhage group.Another 100 healthy people who were examined at our hospital during the same period were selected and assigned to the healthy group.Peripheral venous blood was collected,and serum Cor and VGEF levels were measured through enzyme linked immunosorbent assay.RESULTS A statistically significant difference in serum Cor and VGEF levels was observed among patients with varying degrees of neurological impairment(P<0.05).Serum Cor and VGEF levels were significantly higher in the severe group than in the mild-to-moderate group.Cor and VEGF levels were significantly higher in patients with poor prognoses than in those with good prognoses.Multiple logistic regression analysis revealed that serum Cor and VGEF levels were independent factors affecting hypertensive intracerebral hemorrhage(P<0.05).CONCLUSION Cor and VGEF are associated with the occurrence and development of hypertensive cerebral hemorrhage and are significantly associated with neurological impairment and prognosis of patients.
文摘Objective. To observe the clinical efficacy and mechanism of Zhuyu Tongfu （逐瘀通腑, ZYTF） Serial Recipe combined with acupuncture and massotherapy in treating hypertensive cerebral hemorrhage （HCH）. Methods： One hundred and eighteen patients with hypertensive cerebral hemorrhage, on the basis of conventional Western medicine treatment, were randomly divided into ZYTF combined with acupuncture and massotherapy group （treated group） and simple Western medicine group （control group） ; the clinical efficacy, neurofunction deficit scoring （NDS） alterations and hematoma absorption rate of both groups were observed, and also the plasma superoxide dismutase （SOD） activity, plasma lipid peroxidase （LPO） content, erythrocyte glutathion peroxidase （GSH-Px） activity, hematocrit （Ht） and the whole blood viscosity （Va） change were also observed. Results： In the treated group, the clinical efficacy, NDS improvement and hematoma absorption rate were superior to that of the control group; comparison between the two groups after treatment showed that plasma SOD activity and GSH-Px activity got more elevated and plasma LPO content, Ht and Va more lowered in the the treated group than those in the control group. Cenclusien： ZYTF combined with acupuncture and massotherapy has better effect, its therapeutic mechanism was possibly correlated to the elevation of plasma SOD activity, GSH-Px activity and lowering of plasma LPO content, Ht and Va.
文摘Background Hypertensive cerebral hemorrhage （HCH） is an important cerebrovascular disease that poses significant threat to the health of human being, with high incidence and mortality. With the development of mini- mally invasive techniques, individualized surgical treatment of HCH is very common. Method During 2003- 2012, according to the condition of using craniotomy, hematoma in small bone window craniotomy and hematoma for treatment of 162 cases of hypertensive cerebral hemorrhage patients. Results Among 162 patients with HCH in our study, 24 had recurrent hemorrhage after surgery, with an incidence of recurrent hemorrhage of 14.8%. Among the 24 recurrent hemorrhages, 22 had hemorrhage in primary hematoma site and two subdural hematomas. Among these patients, 16 died, with a mortality of 9.8%. Death rate and recurrent hemorrhage in the small bone window group were lower than that in the craniotomy group, and ＂the difference reached statistical significance （P 〈 0.05）. Conclusions Individuation in treatment of hypertension must be correctly estimated based on disease condition, comprehensive judgment, selection of appropriate treatment options. Even if that we would reduce mortality, improve the success rate of operation and living quality.
文摘目的分析立体定向颅内血肿穿刺引流术与保守治疗幕上中等量(15~40 mL)自发性高血压脑出血的疗效及安全性。方法根据设定的检索策略,检索中国知网、万方、维普、中国生物医学文献服务系统、PubMed、Cochranelibrary、Embase、Web of science数据库,利用RevMan5.4软件对纳入的研究按照不同观察指标[平均住院时间、平均住院费用、血肿清除率、美国国立卫生研究院卒中量表(NIHSS)评分、术后并发症、预后评分、病死率]进行Meta分析。结果收集符合标准的12篇文献,共1264例高血压脑出血病例,其中进行立体定向手术(立体定向组)681例,保守治疗(保守治疗组)583例。两组患者在手术后消化道出血发生率比较,差异无统计学意义(OR=1.19,95%CI:0.36~3.89,P>0.05)。与保守治疗组比较,立体定向组在平均住院时间和住院费用、血肿清除率、术后NIHSS评分、术后并发症、预后评分、病死率方面更有优势,差异有统计学意义(P<0.05)。结论立体定向颅内血肿穿刺引流术是治疗中等量高血压性脑出血的一种微创手术方法,较保守治疗效果确切,并发症发生率更低,利于临床开展,更能使患者获益。
文摘目的 评价药物联合康复治疗对高血压性脑出血的疗效。方法 目的选取滕州市工人医院神经内科于2022年4月—2023年4月收治的76例高血压性脑出血患者为研究对象,按照治疗方式不同,分为药物组和康复组,每组28例。药物组接受药物治疗,康复组接受药物联合康复治疗,比较两组的神经系统功能评分和日常生活能力评分,以及并发症的发生率的差异。结果 康复组治疗后的美国国立卫生研究院卒中量表评分(National Institute of Health Stroke Scale,NIHSS)小于药物组,差异有统计学意义(P<0.05);日常生活能力量表(Activity of Daily Living Scale,ADL)评分大于药物组,差异有统计学意义(P<0.05);康复组无并发症发生,药物组的并发症发生率为15.79%(6/38),差异有统计学意义(χ^(2)=4.607,P=0.031)。结论 药物联合康复治疗下的高血压性脑出血患者,神经功能得到改善,日常生活能力较好,并且发生并发症的概率较小。药物联合康复治疗对于高血压性脑出血的患者较适用。
