摘要
目的研究血肿穿刺引流术与血肿清除术对脑出血患者神经功能及认知功能的效果。方法选择2019年10月-2020年10月在该院接受手术治疗的脑出血患者作为研究对象,共计106例,通过运用随机分组的方式将研究对象分为对照组和研究组,每组53例。其中对照组研究对象采用血肿清除术治疗,研究组采用血肿穿刺引流术治疗,对比两组研究结果。结果研究组手术时间为(55.64±5.27)min、术后1周血肿清除率为(91.75±4.62)%、术后留院观察时间为(14.27±1.18)d,优于对照组对比,差异有统计学意义(t=21.223、9.015、13.019,P<0.05);研究组治疗后的神经功能缺损评分为(13.19±1.05)分、认知功能评分为(24.92±2.02)分,优于对照组对比,差异有统计学意义(t=27.080、11.437,P<0.05);研究组的生理功能评分为(87.24±4.36)分、躯体功能评分为(86.64±4.34)分、情感职能评分为(87.71±4.42)分、社会功能评分为(87.68±4.38)分,优于对照组,差异有统计学意义(t=11.280、11.150、11.817、12.958,P<0.05)。结论脑出血患者接受血肿穿刺引流术治疗,能够有效清除患者的血肿,改善患者的神经功能和认知功能,提升了患者的生活质量,值得大力推广应用。
Objective To study the effects of hematoma puncture drainage and hematoma removal on the neurological and cognitive functions of patients with cerebral hemorrhage.Methods A total of 106 patients with cerebral hemorrhage who were admitted to the hospital for surgical treatment from October 2019 to October 2020 were selected as the research objects.The research objects were divided into a control group and a study group by random grouping,with 53 in each group.Among them,the control group was treated with hematoma removal,and the study group was treated with hematoma puncture drainage.The results of the two groups were compared.Results The operation time of the experimental group was(55.64±5.27)min,the hematoma clearance rate was(91.75±4.62)%one week after operation,and the observation time of postoperative stay in the hospital was(14.27±1.18)d,which was better than these of the control group,the difference was statistically significant(t=21.223,9.015,13.019,P<0.05);the experimental group's neurological deficit score after treatment was(13.19±1.05)points,and the cognitive function score was(24.92±2.02)points,which was better than these of the control group,the difference was statistically significant(t=27.080,11.437,P<0.05);the physiological function score of the study group was(87.24±4.36)points,and the physical function score was(86.64±4.34)points,the score of emotional function was(87.71±4.42)points,and the score of social function was(87.68±4.38)points,which was better than these of the control group,the difference was statistically significant(t=11.280,11.150,11.817,12.958,P<0.05).Conclusion Patients with intracerebral hemorrhage undergoing hematoma puncture drainage can effectively remove the patient’s hematoma,effectively improve the patient’s neurological and cognitive functions,and effectively improve the patient’s quality of life.It is worthy of vigorous promotion and application.
作者
季家璇
JI Jiaxuan(Department of Neurosurgery,Zhangjiagang Hospital of Traditional Chinese Medicine,Zhangjiagang,Jiangsu Province,215600 China)
出处
《系统医学》
2021年第20期20-23,共4页
Systems Medicine
基金
基于“内分泌-骨轴”调控骨改建防治关节置换术后早期假体周围丢失策略的建立及临床研究(BE2020666)。
关键词
脑出血
血肿穿刺引流术
血肿清除术
神经功能
认知功能
Cerebral hemorrhage
Hematoma puncture drainage
Hematoma removal
Nerve function
Cognitive function
