摘要
目的探讨亚低温+颅内血肿微创清除术治疗重症高血压脑出血的效果及对患者神经功能和运动功能的影响。方法方便选取2016年5月—2017年5月期间来该院就诊的重症高血压脑出血患者90例,采用随机数字表法进行分组,分别为研究组和参照组,每组各45例患者。其中参照组患者给予常规性治疗,研究组患者在参照组基础上行亚低温联合颅内血肿微创清除术治疗。结果该次研究中,研究组患者的NIHSS评分(22.21±3.21)分显著优于参照组患者(29.08±4.40)分,两组间数据对比,差异有统计学意义(t=8.461 5,P=0.000 0);研究组患者的CSS评分(17.15±2.45)分显著低于参照组(24.30±2.28)分,组间数据差异有统计学意义(t=14.331 3,P=0.000 0);对比两组患者MMSE评分发现,参照组(21.66±3.22)分明显低于研究组(32.23±5.29)分,组间数据对比差异有统计学(t=11.449 4,P=0.0000)。对比两组患者的治疗总有效率发现,参照组患者的治疗总有效率(44%)显著低于研究组患者(91%),两组间数据对比,差异有统计学意义(χ~2=22.436 4,P<0.05)。结论将亚低温联合颅内血肿微创清除术治疗重症高血压脑出血具有显著的临床治疗效果,有效缓解患者病症,提高患者的治疗后生活质量;在临床上值得应用和推广。
Objective To investigate the effect of mild hypothermia＋intracranial hematoma minimally invasive surgery on severe hypertensive cerebral hemorrhage and its effects on neurological function and motor function. Methods Convenient select a total of 90 patients with severe hypertensive cerebral hemorrhage who came to the hospital from May 2016 to May 2017 were enrolled in the study group and the reference group, with 45 patients in each group. Among them, the reference group received routine treatment, and the patients in the study group underwent minimally invasive surgery with ascending hypothermia combined with intracranial hematoma in the reference group. Results In this study, the NIHSS score （22.21± 3.21）points was significantly better in the study group than in the reference group （29.08±4.40）points. The difference be tween the two groups was statistically significant （t=8.461 5, P=0.000 0）; the CSS score of the stndy group （17.15±2.45） points was significantly lower than that of the reference group （24.30±2.28）points. The difference between the groups was statistically significant （t=14.331 3, P=0.000 0）. The MMSE score showed that the reference group （21.66±3.22）points was significantly lower than the study group （32.23±5.29）points, and the difference between the groups,was statistically signficant（t=11.449 4, P=0.0000）. Comparing the total effective rate of treatment between the two groups, the total effective rate of treatment in the reference group （44%） was significantly lower than that in the study group （91%）. The difference between the two groups was statistically significant （χ^2=22.4364, P〈0.05）. Conclusion The treatment of mild hypothermia combined with intracranial hematoma minimally invasive surgery for severe hypertensive cerebral hemorrhage has significant clinical therapeutic effect, effectively alleviating the patient＇s condition and improving the quality of life of the patient after treat- ment; it is worthy of application and prom
作者
张宪雨
ZHA NG Xian-yu(Department of Neurosurgery,Shandong People＇s Hospital,Liaocheng,Shandong Province,252400 China)
出处
《中外医疗》
2018年第26期13-15,共3页
China & Foreign Medical Treatment
关键词
亚低温
颅内血肿微创清除术
重症高血压脑出血
神经功能
运动功能
Mild hypothermia
Minimally invasive surgetT for intracranial hematoma
Severe hypertensive cerebral hemorrhage
Neurological function
Motor function
