摘要
目的探讨微创钻孔引流术治疗高血压脑出血的疗效,为临床治疗提供参考。方法选取2016年6月—2017年6月黄河中心医院收治的60例高血压脑出血患者,随机分为观察组和对照组,各30例。对照组进行传统开颅手术,观察组进行微创钻孔引流术。观察并比较两组临床疗效、手术监测指标(出血吸收时间及住院时间)及手术不良结局;治疗前后,采用日常生活能力量表(ADL)评估并比较两组日常生活能力,采用神经功能缺损量表评估并比较两组神经功能缺损。结果观察组总有效率为96.67%,明显高于对照组的66.67%,差异有统计学意义(P<0.05)。治疗前,两组ADL和神经功能缺损评分比较,差异无统计学意义(P>0.05);治疗后,观察组ADL评分高于对照组,神经功能缺损评分低于对照组,差异有有统计学意义(P<0.05)。观察组出血吸收时间和住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组手术不良结局发生率为10.00%,低于对照组的33.33%,差异有统计学意义(P<0.05)。结论高血压脑出血患者行微创钻孔引流术疗效非常理想,可改善手术监测指标和改善神经功能,提高日常生活能力。
Objective To investigate the efficacy of minimally invasive drilling drainage in the treatment of hypertensive cerebral hemorrhage,and to provide reference for clinical treatment.Methods Sixty patients with hypertensive cerebral hemorrhage admitted to the Yellow River Central Hospital from June2016 to June 2017 were randomly divided into observation group and control group,30 cases in each group.The control group underwent conventional craniotomy and the observation group underwent minimally invasive drainage.The clinical efficacy,surgical monitoring index(bleeding time and hospitalization time)and adverse surgical outcomes of the two groups were observed and compared before and after treatment.The daily living ability scale(ADL)was used to evaluate and compare the daily living ability of the two groups,and the neurological deficit was used.Neurological deficit between the two groups was evaluated and compared by neurologic deficit scale.Results The total effective rate of the observation group was 96.67%,which was significantly higher than that of the control group(66.67%).The difference was statistically significant(P<0.05).Before treatment,there was no significant difference in ADL and neurological deficit scores between the two groups(P>0.05).After treatment,the ADL score of the observation group was higher than that of the control group,and the neurological deficit score was lower than that of the control group(P<0.05).The bleeding time and hospitalization time of the observation group were shorter than the control group,and the difference was statistically significant(P<0.05).The incidence of operative adverse outcomes in the observation group was 10.00%,which was lower than that in the control group(33.33%).The difference was statistically significant(P<0.05).Conclusions Minimally invasive drilling drainage in patients with hypertensive cerebral hemorrhage is very effective,which can improve surgical monitoring indicators and neurological function and daily living ability.
作者
底爱英
DI Ai-ying(Yellow River Central Hospital,Zhengzhou 450003,China)
出处
《慢性病学杂志》
2018年第S1期13-15,共3页
Chronic Pathematology Journal
关键词
微创钻孔引流术
高血压脑出血
疗效
Minimally invasive drilling drainage
Hypertensive cerebral hemorrhage
Efficacy
