摘要
目的探讨开颅夹闭和血管栓塞在脑动脉瘤患者中的临床治疗效果。方法方便选取2013年12月—2016年12月医院收治脑动脉瘤患者60例,随机数字法分为对照组(n=30)和观察组(n=30)。对照组采用开颅夹闭术治疗,观察组采用血栓栓塞术治疗,采用SF-36生活质量量表对两组治疗前、后生活质量进行评估,比较2组临床疗效。结果观察组手术时间(2.11±0.58)h、住院时间(10.58±2.19)d,短于对照组(P<0.05);观察组住院费用(6.63±0.35)万元,多于对照组(P<0.05);2组治疗前SF-36生活质量评分比较差异无统计学意义(P>0.05);观察组治疗后SF-36生活质量评分,均高于对照组(P<0.05);观察组治疗后并发症发生率为10.00%,对照组为30.00%,2组治疗后并发症发生率比较差异有统计学意义(P<0.05)。结论脑动脉瘤患者采用血管栓塞术治疗效果理想,具有创伤小,术后并发症发生率低等优点,有助于改善患者术后生活质量,值得推广应用。
Objective To discuss the clinical treatment effect of craniotomy clipping and vascular thrombosis in patients with cerebral aneurysm. Methods 60 cases of patients with cerebral aneurysm admitted and treated in our hospital from December 2013 to December 2016 were selected and randomly divided into two groups with 30 cases in each, the control group and the observation group were respectively treated with craniotomy clipping and vascular thrombosis, and the quality of life of the two groups before and after treatment was evaluated by the SF-36 scale, and the clinical curative effect was compared between the two groups. Results The operation time and length of stay in the observation group were respectively（2.11±0.58）h and（10.58±2.19）d, which were shorter than those in the control group（P〈0.05）, and the hospitalization cost was（66.3±3.5）thousand yuan, which was more than that in the control group（P〉0.05）, and the difference in the SF-36 quality of life score before treatment between the two groups was not statistically significant（P〈0.05）, and the SF-36 quality of life score after treatment in the observation group was higher than that in the control group（P〈0.05）, after treatment,the incidence rate of complications in the observation group and in the control group was respectively 10.00% and 30.00%,and the difference was statistically significant（P〈0.05）. Conclusion The effect of vascular thrombosis in patients with cerebral aneurysm is ideal with small trauma and low incidence rate of postoperative complications, which contributes to improving the quality of life after surgery, and it is worth promotion and application.
出处
《中外医疗》
2017年第18期1-3,7,共4页
China & Foreign Medical Treatment
关键词
开颅夹闭
血管栓塞
脑动脉瘤
治疗效果
生活质量
Craniotomy clipping
Vascular thrombosis
Cerebral aneurysm
Treatment effect
Quality of life
