王琦;丁俊;

• 1:平顶山市第一人民医院
• 2:商丘市第一人民医院

摘要(Abstract)：

目的探讨高血压脑出血(HICH)患者选择不同时机手术的临床效果。方法选取2017-01—2019-08在平顶山市第一人民医院治疗的HICH患者87例,均行微创血肿穿刺术,根据发病至手术时间将患者分为≤6 h组、>6～24 h组和>24 h组,观察各组再出血、病死率以及术后生存质量。结果≤6 h组肺部感染率为8.33%,明显低于>6～24 h组和>24 h组(P<0.05);各组再出血、病死率、肾衰竭和应激性溃疡比例比较差异无统计学意义(P>0.05);≤6 h组日常生活能力(ADL)分级明显优于>6～24 h组和>24 h组(P<0.05);>6～24 h组和>24 h组ADL分级比较差异无统计学意义(P<0.05);≤6 h组WHO生存质量评估简表(WHOQOL-BRFF)评分为(76.55±8.21)分,明显高于>6～24 h组和>24 h组(P<0.05);>6～24 h组WHOQOL-BREF评分为(70.12±9.10)分,明显高于和>24 h组(P<0.05)。结论 HICH患者早期(尤其发病至手术时间≤6 h)行手术治疗有助于患者神经功能恢复和生活质量的提高。

关键词(KeyWords)： 高血压脑出血;手术时间;再出血;肺部感染;神经功能;生活质量

Abstract:

Keywords:

基金项目(Foundation): 2019年度河南省医学科技攻关计划联合共建项目(编号:LHGJ20191498)

作者(Authors): 王琦;丁俊;

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