简易定向锥颅碎吸术及尿激酶溶解引流治疗中重度高血压脑出血临床研究-预防医学 劳动卫生与环境卫生专业论文.docxVIP

兰州大学同等学力人员申请学位学位论文The 兰州大学同等学力人员申请学位学位论文 The Clinical Study on Hypertensive Cerebral Hemorrhage Patients with Moderate and Severe Treated by Simply Directional Craniopuncture and Dissolution of Urokinase Postgraduate pang xiaolan Tutor li zhilan Abstract Objective To evaluate curative effect of hypertensive cerebral hemorrhage(HICH)with moderate and severe treated by simply directional craniopuncture and dissolution of urokinase．Method As observation group，325 patients with HICH treated by simply directional craniopuncture and dissolution of urokinase(puncture drainage group) were selected between January 1 998 and October 2007 in Dinxi People’S Hospital．At the same time，330 patients with HICH treated by surgical operation and 300 patients with HICH treated by medical treatment were selected as control group．Curative effect were contrasted by the gross effective rate，the fatality rate and nerve function defect grading．Result Puncture drainage group patient overall effective rate was 76．9％，which was obviously higher than surgical treatment group(36．4％)and medical treatment group(33．3％)，comparing the surgical treatment group and the medi cal treatment to the puncture drainage group respectively had statistics difference pD．01)．The puncture drainage group’S fatality rate was 20％，the surgical treatment group and the medical treatment group Ⅱ 兰州大学同等学力人员申请学位学位论文the 兰州大学同等学力人员申请学位学位论文 the mortality rate respectively were 48．5％and 60％．The puncture drainage group’S fatality rate was obviously lower than the surgical treatment group and the medical treatment group，and they had statistics difference pD．01)．Nerve function defect grading of every groups treated before and after had statistics difference(p0．oi)．The groups also had statistics significance pD．01)．Conclusion The treatment of simply directional craniopuncture and the dissolution of urokinase were not only less damage，convenient and cheap，but also safety and effective．It was more applicable to the grass—roots unit whi