| 微创血肿清除术后醒脑静联合局部亚低温治疗外伤性脑内血肿的疗效观察 |
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| 引用本文： | 文上康,李越,杨朔.微创血肿清除术后醒脑静联合局部亚低温治疗外伤性脑内血肿的疗效观察[J].湛江医学院学报,2011,29(4):387-390. |
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| 作者姓名： | 文上康 李越 杨朔 |
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| 作者单位： | 文上康 (广东省吴川市人民医院神经外科,广东吴川,524500) ； 李越 (广东省吴川市人民医院神经外科,广东吴川,524500) ； 杨朔 (广东省吴川市人民医院神经外科,广东吴川,524500) ； |
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| 摘 要： | 目的 观察微创血肿清除术后醒脑静联合局部亚低温治疗外伤性脑内血肿的临床疗效.方法 116例外伤性脑实质出血患者均接受微创血肿清除术,术后随机分为联合治疗组(醒脑静+局部亚低温,42例)、醒脑静组(36例)及局部亚低温组(38例),采用多田公式和Scandinavian中风量表(SSS)评估治疗前后的血肿大小和临床疗效....
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| 关 键 词： | 脑内血肿 微创术 醒脑静 亚低温 |
Effect of Xingnaojing injection and local sub-hypothermia on patients with traumatic intracerebral hematoma after micro-invasive hematoma evacuation |
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| WEN Shang-kang,LI Yue,YANG Shuo.Effect of Xingnaojing injection and local sub-hypothermia on patients with traumatic intracerebral hematoma after micro-invasive hematoma evacuation[J].Journal of Guangdong Medical College,2011,29(4):387-390. |
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| Authors: | WEN Shang-kang LI Yue YANG Shuo |
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| Institution: | (Department of Neurosurgery,Wuchuan People’s Hospital,Wuchuan 524500,China) |
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| Abstract: | Objective To observe the clinical efficacy of Xingnaojing injection and local sub-hypothermia（LSH） in patients with traumatic intracerebral hematoma（TIH） after micro-invasive hematoma evacuation.Methods A total of 116 TIH patients underwent micro-invasive evacuation and then were randomly divided into combined group（Xingnaojing ＋ LSH,42 cases）,Xingnaojing group（36 cases） and LSH group（38 cases）.Hematoma volume and clinical outcomes were evaluated by Tada formula and Scandinavian Stroke Scale（SSS） before and after treatment.Results Hematoma volume in combined group was significantly lower than that in Xingnaojing and LSH groups on day 3 after treatment（P〈0.01）.Compared with Xingnaojing and LSH groups,SSS scores increased but hematoma volume decreased in combined group on days 7 and 14（P〈0.01）.SSS scores in combined and LSH groups were superior to those in Xingnaojing group on day 30（P〈0.01）.Conclusion Combined treatment of Xingnaojing and LSH can reinforce hematoma absorption and nervous function recovery in TIH patients after micro-invasive hematoma evacuation. |
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| Keywords: | intracerebral hematoma micro-invasive surgery Xingnaojing injection sub-hypothermia |
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