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微创血肿清除术对老年高血压脑出血患者并发症及生活质量的影响 被引量:2

Influence of Minimally Invasive Hematoma Removal on Complications and Quality of Life in Elderly Patients with Hypertensive Intracerebral Hemorrhage
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摘要 目的:探讨微创血肿清除术对老年高血压脑出血(HICH)患者并发症及生活质量的影响。方法:选取2019年7月至2021年2月期间在阳春市人民医院诊断为HICH的60例老年患者,随机分为两组,对照组30例,应用开颅血肿清除术;观察组30例,应用微创血肿清除术。评价指标为日常生活能力量表(ADL)评分及并发症发生率、手术总有效率。结果:观察组患者术后3个月和6个月ADL评分均高于对照组,而并发症发生率低于对照组(10.00 % vs 33.33 %),差异均具有统计学意义(P<0.05)。观察组患者手术总有效率(96.67 %)明显高于对照组(73.33 %),差异具有统计学意义(P<0.05)。观察组患者血肿清除率高于对照组(90.00 % vs 53.33 %),差异具有统计学意义(P<0.05)。结论:微创血肿清除术可提高老年HICH患者的生活质量,减少并发症发生。 Objective To explore the effect of minimally invasive hematoma removal on the complications and quality of life of elderly patients with hypertensive intracerebral hemorrhage (HICH).Methods 60 elderly patients diagnosed with HICH in Yangchun People’s Hospital from July 2019 to June 2021 were selected and randomly divided into two groups:control group with 30 cases underwent craniotomy hematoma removal;Observation group with 30 cases were treated with minimally invasive hematoma removal.The evaluation indexes were activety of daily living scale (ADL) score,complication rate and total operative response rate.Results The ADL scores of patients in the observation group were higher than those in the control group at 3 and 6 months after operation,and the complication rate was lower than that in the control group (10.00% vs 33.33%) (P < 0.05).The total effective rate of surgery in the observation group (96.67%) was significantly higher than that in the control group (73.33%)(P < 0.05).The hematoma clearance rate of the observation group was higher than that of the control group (90.00% vs 53.33%)(P < 0.05).Conclusion Minimally invasive hematoma removal can improve the quality of life of elderly patients with HICH and reduce complications.
作者 李文添 袁律 骆安林 吴世强 方挺 范小红 LI Wen-tian;YUAN Lv;LUO An-lin;WU Shi-qiang;FANG Ting;FAN Xiao-hong(Yangchun People's Hospital,Guangdong Yangchun 529600)
机构地区 阳春市人民医院
出处 《深圳中西医结合杂志》 2021年第23期19-22,共4页 Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金 阳江市医疗卫生类科技计划项目资助课题(阳科通【2019】50号-113)。
关键词 高血压脑出血 微创血肿清除术 老年人 Hypertensive intracerebral hemorrhage Minimally invasive hematoma removal Elderly
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