摘要
目的对脑血管畸形致脑出血患者手术治疗的临床预后效果进行分析。方法94例脑血管畸形致脑出血患者,随机分为传统组和手术组,各47例。传统组实施传统治疗方式,手术组实施手术治疗方式。对比两组患者治疗后机体功能指标及病情发展情况。结果治疗后,手术组患者病情控制评分为(33.64±1.45)分、治疗效果评分为(35.92±2.74)分、肢体行动能力评分为(30.73±3.97)分,均高于传统组的(22.41±3.52)、(20.85±2.26)、(18.47±3.53)分,差异均具有统计学意义(P<0.05);手术组患者并发症发生率和疾病复发率分别为6.38%、2.13%,均明显低于传统组的57.45%、68.09%,差异均具有统计学意义(P<0.05);手术组患者的Barthel指数(BI)、美国国立卫生研究院卒中量表(NIHSS)评分分别为(29.54±1.98)、(12.67±3.54)分,均优于传统组的(15.62±2.91)、(15.74±1.15)分,差异均具有统计学意义(P<0.05)。结论针对脑血管畸形致脑出血患者行手术治疗,可以有效减少患者在治疗过程当中并发症的发生,提升患者的康复率和治疗效果,保障患者实施治疗后的肢体能动性以及生活自理能力,值得在临床上推广使用。
Objective To analyze the clinical prognosis of patients with cerebral hemorrhage caused by cerebrovascular malformation.Methods A total of 94 patients with cerebral hemorrhage caused by cerebrovascular malformation were randomly divided into traditional group and surgery group,with 47 cases in each group.Traditional group was treated with traditional therapy,and surgery group was treated with surgery.The body function indexes and disease development after treatment of the two groups were compared.Results After surgery,the disease control score was(33.64±1.45)points,the treatment effect score was(35.92±2.74)points,and the limb movement ability score was(30.73±3.97)points of the surgery group,which were higher than those of the traditional group(22.41±3.52),(20.85±2.26)and(18.47±3.53)points,and the differences were statistically significant(P<0.05).The incidence of complications and disease recurrence rate of the surgery group was 6.38%and 2.13%respectively,which was obviously lower than that of the traditional group 57.45%and 68.09%,and the difference was statistically significant(P<0.05).Barthel index(BI)score and National Institutes of Health stroke scale(NIHSS)score of the surgery group was(29.54±1.98)and(12.67±3.54)points,which was better than that of the traditional group(15.62±2.91)and(15.74±1.15)points,and the difference was statistically significant(P<0.05).Conclusion For patients with cerebral hemorrhage caused by cerebral vascular malformation,surgical treatment can effectively reduce the occurrence of complications,improve the recovery probability and treatment effect of patients,ensure the limb initiative and self-care ability of patients after treatment,which is worthy of clinical application and promotion.
作者
陈忠智
梁国标
董玉书
刘锡禹
石佐林
CHEN Zhong-zhi;LIANG Guo-biao;DONG Yu-shu(Department of Neurosurgery,Northern Theater General Hospital,Shenyang 110000,China)
出处
《中国实用医药》
2020年第26期29-31,共3页
China Practical Medicine
关键词
脑血管畸形
脑出血
手术治疗
临床预后
Cerebrovascular malformation
Cerebral hemorrhage
Surgical therapy
Clinical prognosis
