对比开颅血肿清除术和微创穿刺术治疗高血压脑出血的可行性与有效性

发布时间：2018-03-09 18:20

本文选题：高血压　切入点：脑出血　出处：《基因组学与应用生物学》2017年06期 　论文类型：期刊论文

【摘要】：比较开颅血肿清除术和微创穿刺术治疗高血压脑出血的可行性与有效性,选择2014年8月~2015年11月在我院接受治疗的90例中等量高血压脑出血患者作为研究对象,将其随机分为对照组和观察组,每组45例。其中对照组患者接受小骨窗开颅血肿清除术,观察组患者接受微创穿刺术,比较两组患者手术后神经功能缺损程度(NFD)、日常生活活动能力(ADL)以及并发症发生率和死亡率。结果表明:手术后2周时,两组患者NFD与ADL比较无显著性差异(p0.05),观察组患者消化道出血和呼吸道感染等不良反应发生率明显低于对照组患者(p0.05);手术后3个月时,观察组患者ADL明显优于对照组(p0.05),两组患者的死亡率之间的差异不显著(p0.05)。与开颅手术相比,微创穿刺术治疗高血压脑出血效果显著,可有效促进患者手术后日常生活能力的恢复,降低并发率的发生。
[Abstract]:To compare the feasibility and effectiveness of craniotomy and minimally invasive puncture in the treatment of hypertensive intracerebral hemorrhage, 90 patients with moderate hypertensive intracerebral hemorrhage who were treated in our hospital from August 2014 to November 2015 were selected as the study objects. The patients in the control group were treated with small bone window craniotomy and the patients in the observation group were treated with minimally invasive puncture. The degree of neurological deficit, ADL, ADL), the incidence of complications and mortality were compared between the two groups. The results showed that: 2 weeks after operation, There was no significant difference in NFD and ADL between the two groups. The incidence of adverse reactions such as gastrointestinal bleeding and respiratory tract infection in the observation group was significantly lower than that in the control group (P 0.05), and at 3 months after operation, the incidence of adverse reactions in the observation group was significantly lower than that in the control group. The ADL in the observation group was significantly better than that in the control group (P 0.05). There was no significant difference in the mortality between the two groups. Compared with craniotomy, minimally invasive puncture was effective in the treatment of hypertensive intracerebral hemorrhage, which could effectively promote the recovery of the patients' daily living ability after operation. Reduce the incidence of concurrency.
【作者单位】：鄂东医疗集团黄石中心医院神经外科;
【基金】：鄂东医疗集团中心院对本研究的支持
【分类号】：R544.1;R651.12

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