摘要
目的探究高血压脑出血常规开颅手术与微创钻孔引流术效果比较。方法选取我院收治的160例患者,按照数字表法随机分为对照组和观察组,每组各80例。对照组给予常规开颅手术治疗,观察组给予微创钻孔引流术治疗,对比分析两组患者的治疗效果、神经功能缺损评分及生活质量情况。结果观察组治疗后患者的总有效率(96.25%)与对照组的(87.50%)相比,明显增高,有显著差异(P<0.05)。观察组患者治疗1个月后、3个月后神经功能缺损评分为(9.27±1.32)分、(6.10±0.50)分与对照组患者的(12.38±1.66)分、(8.21±0.63)分相比明显较低(P<0.05)。观察组治疗后患者的躯体疼痛、生理功能、一般健康状况、活力等生活质量评分与对照组患者相比明显较高(P<0.05)。结论高血压脑出血患者采用微创钻孔引流术治疗后疗效显著,缓解临床症状、改善神经功能、提高生活质量,与常规开颅手术治疗相比优势显著,有重大的临床意义。
Objective To explore the curative effect of routine craniotomy and minimally invasive drilling and drainage for the treatment of hypertensive cerebral hemorrhage. Methods160patients treated in our hospital were selected and randomly divided into the control group and the observation group,80cases in each group.The patients in the control group were given routine craniotomy,and the patients in the observation group were given minimally invasive drilling and drainage.The treatment effect,neurological impairment score and quality of life of patients in two groups were comparatively analyzed. Results The total effective rate(96.25%)in the observation group after treatment was significantly higher than that(87.50%)in the control group(P<0.05).The neurological impairment scores at1month(9.27±1.32)and3months(6.10±0.50)after treatment were significantly lower than those in the control group[(12.38±1.66)and(8.21±0.63)](P<0.05).The quality of life scores such as physical pain,physiological function,general health and vitality in the observation group after treatment were significantly higher than those in the control group(P<0.05). Conclusion The minimally invasive drilling and drainage has significant effect on the treatment of patients with hypertensive cerebral hemorrhage,it can relieve clinical symptoms,improve neurological function,and improve quality of life.Compared with routine craniotomy,it has significant advantages and has clinical significance.
作者
黄晓成
路楷
查海峰
承军
HUANG Xiao-cheng(Jiangyin Hospital of Nanjing University of Traditional Chinese Medicine,Jiangyin 214400,China)
出处
《牡丹江医学院学报》
2018年第6期29-31,共3页
Journal of Mudanjiang Medical University
基金
无锡市卫生计生委科研项目(MS201706)
关键词
高血压
脑出血
常规开颅手术
微创钻孔引流术
Hypertension
Cerebral Hemorrhage
Routine Craniotomy
Minimally Invasive Drilling and Drainage
