微创穿刺与开颅手术治疗脑出血的疗效对比

发布时间：2018-03-18 16:17

本文选题：微创穿刺术　切入点：开颅术　出处：《临床医药文献电子杂志》2016年45期 　论文类型：期刊论文

【摘要】：目的研究对比微创穿刺与开颅手术治疗脑出血的疗效。方法选取我院2014年9月~2015年9月收治的脑出血患者78例作为研究对象,分对照组和观察组。对照组和观察组分别采取开颅手术与微创穿刺术进行治疗。对比两组患者取得的疗效。结果观察组治疗有效率94.87%高于对照组76.92%,差异有统计学意义(P0.05);观察组患者的术中出血量、手术时间、住院时间与创口大小均要少于对照组,差异无统计学意义(P0.05);与治疗前相对比,所有患者神经功能评分均改善,观察组患者改善效果要优于对照组,差异有统计学意义(P0.05);同时观察组患者术后并发症发生率要低于对照组,差异有统计学意义(P0.05)。结论治疗临床治疗脑出血,与传统开颅手术相对比,微创穿刺术疗效更高,手术时间更短,且术中患者出血量更少,整体效果要明显优于传统治疗方法,属于临床治疗脑出血的一种理想方法,具有推广应用的意义。
[Abstract]:Objective to compare the efficacy of minimally invasive puncture and craniotomy in the treatment of intracerebral hemorrhage. Methods 78 patients with intracerebral hemorrhage were selected from September 2014 to September 2015 in our hospital. It was divided into control group and observation group. The control group and observation group were treated by craniotomy and minimally invasive puncture respectively. The curative effect of the two groups was compared. Results the effective rate of treatment in the observation group was 94.87% higher than that in the control group 76.92, the difference was statistically significant. The intraoperative bleeding volume of the patients in the observation group, The operation time, hospitalization time and wound size were less than those in the control group, the difference was not statistically significant (P 0.05). Compared with before treatment, the neurological function scores of all patients were improved, and the improvement effect of the observation group was better than that of the control group. At the same time, the incidence of postoperative complications in the observation group was lower than that in the control group, and the difference was statistically significant (P 0.05). Conclusion compared with the traditional craniotomy, minimally invasive puncture is more effective in the treatment of intracerebral hemorrhage. The operation time is shorter and the blood loss is less during the operation. The overall effect is obviously superior to the traditional treatment method. It is an ideal method for clinical treatment of intracerebral hemorrhage and has the significance of popularization and application.
【作者单位】：山东省商河县人民医院;
【分类号】：R651.12

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