摘要
目的比较精准立体定向术与保守治疗小量基底节脑出血的临床效价和资源耗比。方法选择北京市顺义区医院自2015年1月-2019年9月收治的基底节出血(15~30mL)患者共136例,采用随机﹑对照和盲评的临床研究方法,将其分成定向组(68例)和保守组(68例),根据动态CT﹑格拉斯哥评分(glasgow coma scale,GCS)和改良Rankin量表评分(modified rankin scale,MRS)评价其早期临床疗效,根据住院日及住院费评价其社会耗资的比较效应。结果保守组的血肿排空率、平均住院日、平均住院费、GCS评分、治疗6周后mRs评分低于定向组,差异均有统计学意义(P<0.05)。结论针对小量基底节出血患者而言,精准立体定向术可明显改善其临床早期预后及资源耗比(如留院日数﹑耗费比率)。
Objective To evaluate the clinical valence and resource consumption between precise stereotactic hematoma evacuation and expectant treatment in treating small basal ganglia region Cerebral hemorrhage.Methods A total of 136 patients with small basal ganglia region Cerebral hemorrhage(hemorrhage volume less than 30 mL),admitted to our hospital from January 2015 to September 2019,were divided into precise stereotactic hematoma evacuation group(n=68)and expectant treatment group(n=68)by clinical research methods of randomized controlled and blind assessment.Preliminary treatment effects were evaluated by CT scan,glasgow coma scale(GCS)and modified rankin scale(mRS);hospital day and hospitalization costs were used for evaluating the consumption of social resources.Results Evacuation rate of hematoma、hospital day、average hospitalization fee、GCS scores、mRS scores at 6 weeks after treatment in precise stereotactic hematoma evacuation group was lower than that in precise stereotactic hematoma evacuation group;the differences between the two groups were statistically significant(P<0.05).Conclusion For small basal ganglia region cerebral hemorrhage,precise stereotactic hematoma evacuation is prior to expectant treatment and can shorten rehabilitation period and improve the overall prognosis.
作者
张剑峰
康全利
聂兆波
ZHANG Jianfeng;KANG Quanli;NIE Zhaobo(Neurosurgery Department,The Hospital of Shunyi District Beijing,Beijing 101300,China)
出处
《中国卫生标准管理》
2020年第6期81-83,共3页
China Health Standard Management
关键词
小量
基底节
脑出血
立体定向
血肿清除
保守治疗
small
basal ganglia region
cerebral hemorrhage
stereotactic
hematoma evacuation
expectant treatment
