摘要
目的探讨软通道微创介入治疗老年高血压脑出血(HICH)的疗效。方法将黄河中心医院神经内科和重症医学科2014-01—2016-12收治的124例老年HICH患者随机分为研究组和对照组各62例。对照组采用硬通道微创术治疗,研究组采用软通道微创术介入治疗。观察2组临床疗效、术后并发症发生情况及生存质量(QOL)评分。结果研究组治疗总有效率略高于对照组,但2组比较差异无统计学意义(P>0.05);研究组术后并发症发生率明显低于对照组,差异有统计学意义(P<0.01);术后随访6个月,研究组生存质量评分高于对照组,差异有统计学意义(P<0.05)。结论硬通道微创与软通道微创介入治疗老年HICH的效果相当,但软通道微创介入治疗的并发症发生率低,在减少组织损伤、恢复神经功能、改善患者生活质量方面更具优势。
Objective To research the effect of soft channel minimally invasive treatment of hypertensive intracerebral hemorrhage(HICH)in the elderly.Methods In this study,124 patients with HICH in the Department of Neurology and Intensive Care Unit(ICU)of Huanghe Central Hospital from January 2014 to December 2016 were randomly divided into the study group and the control group,each with 62 cases.The control group was treated by hard channel minimally invasive surgery,and the study group was treated with soft channel minimally invasive interventional therapy.The clinical curative effect,postoperative complications and the scores of quality of life(QOL)in both groups were compared.Results The total effective rate in the study group was slightly higher than that in the control group,there was no significant difference between the two groups(P>0.05).The incidence of postoperative complications in the study group was significantly lower than that in the control group,there was a significant difference(P<0.05).After 6 months of follow-up,the survival quality score of the study group was higher than that in the control group,there was a significant difference(P<0.05).Conclusion Hard channel of minimally invasive treatment and soft channel of minimally invasive interventional treatment have equal effect in treatment of HICH in the elderly,but the soft channel of minimally invasive interventional treatment has less complications,and has advantages on decreasing tissue damage,restoring nerve function,reducing the incidence of complications,and improving the quality of life,which is worth of clinical promotion.
作者
崔琳
CUI Lin(Huanghe Central Hospital,Zhengzhou 450000,China)
出处
《中国实用神经疾病杂志》
2019年第2期197-201,共5页
Chinese Journal of Practical Nervous Diseases
关键词
高血压脑出血
微创介入
软通道
硬通道
老年
生存质量
预后
Hypertensive intracerebral hemorrhage
Minimally invasive
Soft channel
Hard channel
Elderly
Life quality
Prognosis
