目的:探讨脑出血患者的临床症状,以及患者急救治疗方案,分析综合治疗手段的临床治疗作用.方法:随机择取我院在2017年5月——2018年10月内收治的100例脑出血患者为研究对象,随机均分成观察组与参照组,每组n=50例.观察组在常规治疗基础上加以针对脑出血常见并发症的综合治疗,参照组则采用常规急救治疗手段,比对急救治疗效果与并发症.结果:观察组患者治疗后,血管性痴呆,神经源性肺水肿以及呼吸道感染和上消化道出血中一共发生6例并发症,显著低于常规组的12例,差异具有统计学意义(P<0.05).且参照组患者的脑出血总治疗有效率78.00％显著低于观察组的94.00％,组间差异具有统计学意义(P<0.05).结论:比对传统常规的脑出血急救方案,采用针对脑出血常见并发症的综合治疗,可有效预防与降低脑出血并发症发生,更符合脑出血患者的需求,提高临床有效治疗率的同时,降低并发症,具有较强的临床推广价值.
Objective To analysis the risk factors of intracranial artery stenosis in lacunar infarction patients. Meth-ods Retrospectively compare the clinical data of patients with lacunar infarction and to identify the independent risk factors of lacunar cerebral infarction complicated with intracranial artery stenosis. Results There were 198 patients with lacunar infarc-tion. The average age was(63. 89 ± 11. 17)years old. Intracranial artery stenosis group were 121 cases(67. 7% ),29 cases (24% )were the solitary artery stenosis,92 cases(76% )were multiple artery stenosis. And 120 cases(120 / 174,60. 6% ) with hypertension,98 cases(98 / 174,49. 5% )with hyperlipemia,62 cases(62 / 174,31. 3% )with coronary disease. Coronary heart disease(42. 1% vs. 14. 3% ;χ2 = 9. 205,P = 0. 002)and diabetes mellitus(25. 6% vs. 10. 4% ;χ2 = 3. 173,P =0. 007)and carotid IMT thickening(29. 7% vs. 7. 8% ;χ2 = 3. 962,P = 0. 047)was significantly higher in intracranial artery stenosis group than that in the patients without intracranial artery stenosis group. High density lipoprotein cholesterol(HDL-C)level was significantly lower than the no intracranial artery stenosis group[(1. 31 ± 0. 52)mmol/ L vs. (1. 57 ± 1. 54) mmol/ L;t = - 2. 242,P = 0. 026]. Multivariate lolgistic regression analysis showed that coronary heart disease(OR 10. 013, 95% CI 1. 079 ~ 92. 900;P = 0. 043])and diabetes mellitus(OR 6. 766,95% CI 1. 704 ~ 26. 870,P = 0. 006)were risk fac-tors of intracranial artery in patients with lacunar infarction narrow narrow. And higher levels of HDL(OR = 0. 015,95% CI =0. 001 - 0. 299)were the protective factors of intracranial artery stenosis in patients with lacunar infarction. Conclusion It is common with lacunar cerebral infarction patients with intracranial artery stenosis. Coronary heart disease and diabetes are inde-pendent risk factors of intracranial arterial stenosis associated with lacunar infarction.
<正>手术部位感染(SSI)是外科手术后最常见的并发症,是医院内最常见感染之一。本文对我院2008年1月-2011年4月外科住院SSI患者1030例进行回顾性分析,报道如下。1临床资料1.1一般资料本组130例切口感染病例,其中男66例,年龄6～81岁,中位年龄43.2岁;女64例,年龄4～86岁,中位
多发性硬化(multiple sclerosis,MS)是以中枢系统白质脱髓鞘病变为特点的自身免疫病,是神经系统常见疾病之一.目前MS的治疗多用激素冲击,免疫抑制剂对症治疗为主.但有些患者对以上治疗反应较差,病情反复发作.我们对2003年1月至3月在我科住院的3例MS患者进行鞘内注射胞二磷胆碱治疗,收到了较好的效果,现报告如下.
