摘要
目的探讨微创血肿穿刺术对高龄脑出血患者神经功能恢复及生活质量的影响。方法选取我院2011年1月至2017年1月收治的126例脑出血老年患者为研究对象,将其随机分为观察组和对照组,对照组患者给予常规内科保守治疗,观察组保守治疗的同时实施微创血肿穿刺术治疗,采用神经功能缺损量表(NIHSS)评价患者治疗后第3天、第1周、1个月、3个月时的神经功能缺损情况,采用日常生活能力(ADL)量表于治疗前及治疗后1个月、3个月对患者的生活能力进行评估。结果治疗前,两组患者NIHSS和ADL评分均基本相当,组间比较差异无统计学意义(P>0.05);治疗后3d、1 w、1个月、3个月时观察组的NIHSS评分均明显低于治疗前,且低于对照组(P<0.01),治疗后1个月、3个月时,观察组的ADL评分明显高于治疗前,且显著高于对照组(P<0.01)。结论高龄脑出血采用微创血肿穿刺术治疗,有助于患者神经功能和日常生活能力的恢复,对提高患者生活质量、提高临床疗效有积极意义。
Objective To investigate the effect of minimally invasive hematoma puncture on the recovery of nerve function and the quality of life in elderly patients with cerebral hemorrhage. Methods 126 cases of senile patients with cerebral hemorrhage treated in our hospital from January 2011 to January 2017 were selected,and they were randomly divided into the observation group and the control group. The patients in the control group were treated with conventional internal medicine,and the observation group underwent conservative therapy and was treated with minimally invasive hematoma puncture at the same time. Neurological functions of the 3 rd day,1 st week,1 st month and 3 rd month after treatment were assessed respectively by using the NIH Stroke Scale（ NIHSS）. The ability of daily life（ ADL） score was used to assess the patient＇s ability to live before treatment and during the 1 st and 3 rd month after treatment. Results Before treatment,the scores of NIHSS and ADL in the two groups were almost equal,and there was no significant difference between the groups（ P〈0. 05）. The NIHSS scores of the observation group of the 3 rd day,1 st week,1 st month and3 rd month after treatment were significantly lower than that before treatment and those of the control group（ P〈0. 01）. In the 1 st month and 3 rd month after treatment,the ADL scores of the observation group were significantly higher than that before treatment and those of the control group（ P〈0. 01）. Conclusion Minimally invasive hematoma puncture for elderly patients with cerebral hemorrhage is helpful in the recovery of neurological function and activity of daily living,and has positive meaning for improving patients＇ quality of life and clinical efficacy.
作者
方丹东
石东福
Fang Dandong;Shi Dongfu(Department of Neurosurgery,The Central Hospital of Sanmenxia,Sanmenxia 472000 Chin)
出处
《锦州医科大学学报》
CAS
2018年第4期49-51,共3页
Journal of Jinzhou Medical University
关键词
脑出血
高龄
神经功能
生活能力
cerebral hemorrhage
advanced age
nerve function
living ability
