CT引导下微创钻颅穿刺引流术治疗高血压脑出血临床观察  

Clinical research of CT-guided minimally invasive drilling skull puncture drainage in treating patients with hypertensive cerebral hemorrhage

作　　者：关新明[1] 

机构地区：[1]湖北江汉油田总医院神经外科,潜江433124

出　　处：《中国实用神经疾病杂志》2013年第16期25-26,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨高血压脑出血患者在CT引导下行微创钻颅穿刺引流术的疗效。方法按随机数字表法将94例脑出血患者分为2组,各47例,对照组采用控血压、积极降低颅压等内科保守方法治疗,观察组在CT引导下予以微创钻颅引流疗法,于入院时、治疗8周后采用NIHSS及MRS评分法评估患者神经功能缺损情况,比较2组疗效。结果观察组治疗总有效率95.7%,对照组为80.9%,2组总有效率比较差异有统计学意义(P<0.05);治疗8周后,2组NIHSS及MRS评分与治疗前相比均明显降低,但观察组降低程度显著大于对照组(P<0.05);2组并发症比较,差异无统计学意义(P>0.05)。结论微创钻颅穿刺引流术对于高血压脑出血治疗要优于传统的内科保守治疗相比。Objective To investigate the value of CT-guided downlink minimally invasive drilling skull puncture drainage in treating patients with hypertensive intracerebral hemorrhage.Methods 94 patients with cerebral hemorrhage were randomly divided into the control group（47 cases,treated by the conservative treatment such as control blood pressure,actively reducing intracranial pressure） and the observation group（47 cases,treated by the drilling skull to be minimally invasive CT-guided drainage）.After 8 weeks of treatment,the NIHSS and MRS scores were used to assess the neurological deficit situation and the curative effect in two groups.Results The total therapy effective rate in the observation group（95.7%） was higher than that in the control group（80.9%）;After 8 weeks of treatment,the NIHSS and MRS scores in two groups after treatment were lower than before treatment especially in the observation group.The common complications in two groups had no significant difference.Conclusion Minimally invasive drilling cranial puncture drainage treating patients with cerebral hemorrhage is better than the traditional conservative medical treatment.

关 键 词：CT引导 高血压脑出血 钻颅穿刺 微创 

分 类 号：R743.34[医药卫生—神经病学与精神病学]