摘要
目的:观察钻孔穿刺引流术治疗阿司匹林相关幕上脑出血患者的效果。方法:回顾性分析2018年1月至2021年6月汕头市澄海区人民医院和惠州市第三人民医院共同收治的70例阿司匹林相关幕上脑出血患者的临床资料,根据治疗方式不同分为观察组(n=36)和对照组(n=34)。对照组采用传统开颅术治疗,观察组采用钻孔穿刺引流术治疗,比较两组手术相关指标水平、手术前后神经功能缺损[美国国立卫生研究院卒中量表(NIHSS)]评分、意识状态[格拉斯哥昏迷指数(GCS)]评分、血肿体积、并发症发生率及病死率。结果:观察组术中出血量少于对照组,手术时间及住院时间均短于对照组,差异有统计学意义(P<0.05);术后,观察组NIHSS评分低于对照组,GCS评分高于对照组,差异有统计学意义(P<0.05);观察组血肿体积大于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为13.89%,低于对照组的35.29%,差异有统计学意义(P<0.05);两组病死率比较,差异无统计学意义(P>0.05)。结论:钻孔穿刺引流术治疗阿司匹林相关幕上脑出血患者可降低手术相关指标水平、NIHSS评分和并发症发生率,提高GCS评分,效果优于传统开颅术,但血肿体积改善效果比传统开颅术差。
Objective:To observe effect of skull drilling and drainage in treatment of patients with Aspirin-related supratentorial intracerebral hemorrhage.Methods:The clinical data of 70 patients with Aspirin-related supratentorial intracerebral hemorrhage who were jointly treated in Shantou Chenghai district people’s hospital and the third people’s hospital of Huizhou city from January 2018 to June 2021 were retrospectively analyzed,and they were divided into observation group(n=36)and control group(n=34).The control group was treated with traditional craniotomy,while the observation group was treated with skull drilling and drainage.The levels of surgery-related indicators,the neurological deficit[national institutes of health stroke scale(NIHSS)]score,the state of consciousness[Glasgow coma scale(GCS)]score,the hematoma volume,the incidence of complications and the mortality rate were compared between the two groups before and after the surgery.Results:The intraoperative blood loss,the operation time and the hospitalization time in the observation group were all less than those in the control group,and the differences were statistically significant(P<0.05).After the surgery,the NIHSS score of the observation group was lower than that of the control group;the GCS score of the observation group was higher than that of the control group;and the differences were statistically significant(P<0.05).The hematoma volume in the observation group was greater than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 13.89%,which was lower than 35.29%in the control group,and the difference was statistically significant(P<0.05).However,there was no significant difference in mortality rate between the two groups(P>0.05).Conclusions:Skull drilling and drainage in the treatment of the patients with Aspirin-related supratentorial intracerebral hemorrhage can reduce the levels of surgery-related indicators,the NIHSS scores and the incidence of complications,and improve the GCS score.Moreover,it is superior to traditional craniotomy,but the hematoma volume is larger than that of traditional craniotomy.
作者
许伟歆
黄国荣
李素玉
XU Weixin;HUANG Guorong;LI Suyu(Shantou Chenghai District People’s Hospital,Department of Surgery,Shantou 515800 Guangdong,China;Shantou Chenghai District People’s Hospital,2nd Department of Internal Medicine,Shantou 515800 Guangdong,China;Neurosurgery of the Third People’s Hospital of Huizhou City,Huizhou 516000 Guangdong,China)
出处
《中国民康医学》
2022年第16期22-25,共4页
Medical Journal of Chinese People’s Health
基金
汕头市科技计划医疗卫生类别项目(200710105260194)。
关键词
阿司匹林
幕上脑出血
钻孔穿刺引流术
传统开颅术
神经功能
并发症
Aspirin
Supratentorial intracerebral hemorrhage
Skull drilling and drainage
Traditional craniotomy
Nerve function
Complication
