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目的比较Hunt-HessⅢ级动脉瘤性SAH不同时机弹簧圈栓塞治疗的临床疗效。方法对68例动脉瘤性SAH入院时Hunt-HessⅢ级患者按治疗时期分为治疗组和对照组,采用χ2检验比较2组病死率和生活能力评分。结果治疗组34例,死亡2例;对照组34例,死亡8例;2组病死率比较差异有统计学意义(χ2=4.221,P<0.05)。存活患者病后3个月Barthel指数作生活量表(ADL)评分,Ⅰ级数:治疗组27例,对照组18例;2组生活能力(ADL)Ⅰ级数差异有统计学意义(χ2=5.322,P<0.05)。结论 Hunt-HessⅢ级动脉瘤性SAH早期弹簧圈栓塞治疗可降低病死率,提高生活质量。
Objective To compare the clinical efficacy of coil embolization with Hunt-Hess Ⅲ-stage aneurysm with different duration of coil embolization. Methods Hunt-Hess Ⅲ patients were divided into treatment group and control group according to the treatment period on 68 cases of aneurysmal SAH admission. The 2-group mortality and life-ability score were compared by χ2 test. Results There were 34 cases in the treatment group and 2 cases died in the control group. There were 34 cases in the control group and 8 cases died. There was significant difference in mortality between the two groups (χ2 = 4.221, P <0.05). The Barthel index of surviving patients at 3 months after illness was used as the scale of life scale (ADL), grade Ⅰ: 27 cases in the treatment group and 18 cases in the control group. There was significant difference in the grade Ⅰ of ADL between the two groups (χ2 = 5.322, P <0.05). Conclusion Early embolization of Hunt-Hess grade III aneurysmal SAH can reduce mortality and improve quality of life.