摘要
目的对比分析微创穿刺术与小骨窗开颅术治疗中等量高血压脑出血的疗效。方法选取2013年10月至2014年10月我院收治的92例中等量高血压脑出血患者作为研究对象,将其随机分为两组各46例。治疗组采用微创穿刺血肿粉碎清除术进行治疗,对照组采用小骨窗开颅血肿清除术进行治疗。对比两组患者的神经功能缺损程度(NFD)、日常生活活动能力(ADL)、死亡率和并发症的发生情况。结果两组患者术后14天的NFD与ADL相比差异不显著(P>0.05)。治疗组呼吸道感染、消化道出血的发生率显著低于对照组,差异具有统计学意义(P<0.05)。术后3个月时治疗组ADL明显优于对照组,差异具有统计学意义(P<0.05),此时两组患者的死亡率相比并无显著差异(P>0.05)。结论微创穿刺血肿粉碎清除术对于减少中等量高血压基底节区脑出血患者并发症有显著疗效,可有效提高患者的日常生活活动能力,最大限度降低病残率。
Objective To compare the effect of minimally invasive puncture and small bone window craniotomy in the treatment of moderate hypertensive cerebral hemorrhage. Methods 92 patients with moderate hypertensive cerebral hemorrhage admitted to our hospital from October 2013 to October 2014 were selected and randomly divided into two groups, with 46 cases in each group. The treatment group was given minimally invasive evacuation of hematoma, the control group was given small bone window craniotomy evacuation of hematoma. The degree of nervous functional defect（NFD）, activities of daily living（ADL）, mortality and complications in two groups were compared. Results After 14 days of the surgery, the NFD and ADL of two groups had no statistical difference（P〉0.05）. The incidence of respiratory tract infection and digestive tract hemorrhage in treatment group were significantly lower than those in control group, with statistical difference（P〈0.05）. After 3 months of the surgery, the ADL of treatment group was better than that of control group, with statistical difference（P〈0.05）; the mortality of two groups at this moment had no statistical difference（P〉0.05）. Conclusions Minimally invasive evacuation of hematoma has significant effect in reducing the complications of patients with moderate hypertensive cerebral hemorrhage in basal ganglia, which also can effectively improve the ADL of patients and reduce the disability rate.
出处
《临床医学工程》
2015年第6期733-734,共2页
Clinical Medicine & Engineering
关键词
微创穿刺术
小骨窗开颅术
中等量高血压脑出血
Minimally invasive surgery
Small bone window craniotomy
Moderate hypertensive cerebral hemorrhage
