摘要
目的分析基底节区大出血量高血压脑出血应用不同治疗方式的有效性。方法入组本院神经科收治的基底节区大出血量高血压脑出血患者共70例,随机分组,每组35例,对照组的患者单管穿刺引流手术,观察组双管穿刺引流手术。比较两组引流的平均时间、住院的时间、尿激酶注入的次数、治疗前后患者神经功能、ADL评分、血肿清除率、并发症。结果观察组引流的平均时间、住院的时间、尿激酶注入的次数、治疗后患者神经功能、ADL评分、血肿清除率均优于对照组,P<0.05。两组的并发症比较存在明显差异P<0.05。结论基底节区大出血量高血压脑出血应用不同治疗方式的有效性存在差异,其中,双管穿刺引流手术的效果优于单管穿刺引流手术,可更好改善患者神经功能和缩短住院时间。
Objective To analyze the effectiveness of different treatments for hypertensive cerebral hemorrhage with massive hemorrhage in the basal ganglia.Methods A total of 70 patients with hypertensive cerebral hemorrhage in the basal ganglia area who were admitted to the Department of Neurology in our hospital were randomly divided into groups.The patients in the control group were single-tube puncture drainage surgery,and the observation group was double-tube puncture drainage surgery.The average drainage time,hospitalization time,urokinase injection frequency,neurological function,ADL score,hematoma clearance rate and complications of patients before and after treatment were compared between the two groups.Results The average time of drainage in the observation group,the length of hospitalization,the number of urokinase injections,neurological function,ADL score,and hematoma clearance rate of the patients after treatment were all better than those of the control group,P<0.05.There was a significant difference in complications between the two groups P<0.05.Conclusion There are differences in the effectiveness of different treatment methods for hypertensive cerebral hemorrhage in the basal ganglia area.Among them,the effect of double-tube puncture and drainage surgery is better than that of single-tube puncture and drainage surgery,which can better improve the patient’s nerve function and shorten the hospital stay.
作者
张云强
ZHANG Yun-qiang(Qian'an Huaren Orthopedic Hospital,Brain Surgery,Tangshan,Hebei 064400)
出处
《智慧健康》
2020年第34期58-59,62,共3页
Smart Healthcare
关键词
基底节区大出血量
高血压脑出血
不同治疗方式
有效性
Massive bleeding in basal ganglia
Hypertensive cerebral hemorrhage
Different treatments
Effectiveness
