摘要
目的观察软通道穿刺引流术治疗中等量高血压脑出血的临床效果。方法选取2021年6月—2022年6月在福建省立医院进行手术治疗的300例中等量高血压脑出血患者,采用随机数字表法分为对照组与观察组,每组各150例。对照组采用开颅血肿清除术的方法为患者进行治疗,观察组采用软通道穿刺引流术为患者进行治疗,比较两组治疗效果。结果与对照组比较,观察组中等量高血压脑出血患者的救治成功率更高,治疗有效性更高,术后并发症发生率更低,且经过治疗后的临床神经功能缺损评分(national institute of health stroke scale,NIHSS)更低,生活质量和睡眠质量更高(P<0.05)。结论针对中等量高血压脑出血患者,采取软通道穿刺引流术的效果更优,患者的治疗有效性和神经功能状况得到改善,并发症情况较低,且患者治疗后生活质量和睡眠质量得到提升,治疗优势突出,可在临床大量推广。
Objective To observe the clinical effect of soft channel puncture and drainage in the treatment of moderate hypertensive cerebral hemorrhage.Methods A total of 300 patients with moderate hypertensive intracerebral hemorrhage undergoing surgical treatment in Fujian Provincial Hospital from June 2021 to June 2022 were selected and randomly divided into control group and observation group with 150 cases in each group by digital table method.The control group was treated with craniotomy hematoma removal,and the observation group was treated with soft channel puncture and drainage,to compare the therapeutic effect of the two groups.Results Compared with the control group,patients with the same amount of hypertensive cerebral hemorrhage in the observation group had higher success rate of treatment,higher treatment effectiveness,lower incidence of postoperative complications,lower national institute of health stroke scale(NIHSS)score after treatment,higher quality of life and sleep quality(P<0.05).Conclusion For patients with moderate hypertensive intracerebral hemorrhage,the effect of soft channel puncture and drainage is better,the treatment effectiveness and neurological function of the patients are improved,the complications are lower,and the quality of life and sleep of the patients after treatment are improved,and the treatment has outstanding advantages,which can be widely promoted in clinical practice.
作者
杨波
魏晨斌
YANG Bo;WEI Chenbin(Department of Neurosurgery,Fujian Provincial Hospital,Fuzhou Fujian 350001,China)
出处
《中国卫生标准管理》
2023年第11期116-120,共5页
China Health Standard Management
关键词
软通道穿刺引流术
开颅血肿清除术
中等量高血压脑出血
临床效果
并发症
生活质量
soft channel puncture drainage
craniotomy hematoma removal
moderate hypertensive cerebral hemorrhage
clinical effect
complications
quality of life
