摘要
目的探讨临床应用锥颅穿刺抽吸引流术治疗高血压脑出血患者的临床疗效及安全性,为临床治疗高血压脑出血提供指导建议。方法将88例具有手术指征的高血压脑出血患者随机分为治疗组和对照组,治疗组患者采用锥颅穿刺抽吸引流术进行治疗,对照组患者采用传统开颅手术进行治疗,比较两组患者治疗后日常生活能力(ADL)评分、预后、血清不同时间神经元特异性烯醇化酶(NSE)水平差异。结果治疗组患者在术后12小时、第7天及第14天的NSE水平均低于对照组患者,经统计学检验,仅治疗后第7天与第14天差异具有显著性(P<0.05);术后并发症,治疗组17例(38.64%)明显低于对照组[29(65.91%)],两组患者术后并发症比较差异具有显著性(P<0.05);两组患者生活能力分级对照组患者Ⅰ级少于治疗组,但差异均无显著性(P>0.05)。结论临床应用锥颅穿刺抽吸引流术治疗高血压脑出血患者的临床短期疗效明显优于传统开颅手术,具有并发症少的特点。
Objective To explore the clinical application should be of stereotaxic puncture and drainage of clinical efifcacy and safety in patients with cerebralhemorrhage induced by hypertension, for the clinical treatment ofhypertension induced cerebral vascular accident in the provision of advice. Method 88 patients with operation pointer in patients with hypertensive cerebral hemorrhage were randomly divided into observation group and control group, the observation group was treated with stereotaxic puncture and drainage for treatment, the control group used the traditional surgicaloperation treatment, daily life ability were compared between two groups after treatment （ADL） score, prognosis, patients with different time of neuron speciifc enolase （NSE） level difference. Result The observation group in 12h and seventh days after treatment, 14 days NSE levels were lower than the control group, but the difference was onlyseventh days after treatment, 14 days, the difference was statistically signiifcant （P0.05）. Conclusion The clinical application should be of stereotaxic puncture and drainage in patients with clinical short-term curative effect is obviously superior to thetraditional craniotomy operation in treatment of hypertensive cerebral hemorrhage induced, with fewer complications.
出处
《中国医学前沿杂志（电子版）》
2014年第6期47-49,共3页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
关键词
锥颅穿刺抽吸引流术
高血压
脑出血
Stereotaxic puncture and drainage Hypertensive Cerebral hemorrhage
