摘要
目的分析微创穿刺术治疗脑出血颅内血肿的临床疗效。方法脑出血患者128例随机分为对照组和观察组各64例,对照组实施内科保守治疗,观察组采用颅内血肿微创穿刺清除术。观察比较2组疗效、并发症发生率。结果术后2周观察组总有效率81.3%,大于对照组的46.9%,差异有统计学意义(P<0.05);2组消化道出血、肺部感染、尿路感染、脑疝形成并发症发生率差异无统计学意义(P>0.05),观察组再出血、肾衰竭、电解质紊乱发生率低于对照组,差异有统计学意义(P<0.05)。结论微创穿刺术对比传统内科保守治疗疗效较好,可有效降低患者病死率、减少并发症的发生,且操作简单值得推广。
Objective To analyze and evaluate the value of minimally invasive surgery for intracranial hematoma.Methods Totally 128 cases of patients with cerebral hemorrhage admitted in our hospital were selected as the research object,and 64 cases in each group.The patients in the control group were given internal medicine conservative treatment,and the observation group was treated by minimally invasive removal of intracranial hematoma.The incidences of complications and the curative effect were compared between the two groups.Results After 2weeks of treatment group,the total effective rate of observation group was 81.3%,which was more than that of control group（46.9%）,with a significant difference（P〈0.05）.But there were no statistically significant differences between the two groups of patients in digestive tract hemorrhage,pulmonary infection,urinary tract infection,and hernia formation complication rate（P〉0.05）.The occurrence rate of hemorrhage,renal failure,and electrolyte disturbance of the observation group were smaller than those of the control group,the difference was statistically significant（P〈0.05）.Conclusion The minimally invasive surgery has a better curative effect compared with conventional internal medicine.It can effectively reduce the incidence of mortality,complications,and the operation is simple.Therefore,it is worthy of promotion.
出处
《中国实用神经疾病杂志》
2015年第3期38-40,共3页
Chinese Journal of Practical Nervous Diseases
关键词
微创穿刺术
颅内血肿
内科保守治疗
Minimally invasive surgery
Intracranial hematoma
Internal medicine conservative treatment
