快速康复外科在基底节区脑出血治疗中的实践及探讨  

Application of fast track surgery in the treatment of basal ganglia hemorrhage

作　　者：徐伟光[1] 殷利明[1] 钟德泉[1] 赵展[1] 王文涛[1] 

机构地区：[1]广东药学院附属第一医院,广州市510080

出　　处：《实用医学杂志》2015年第1期70-72,共3页The Journal of Practical Medicine

摘　　要：目的:探讨快速康复外科在基底节区脑出血治疗中应用的安全性及可行性。方法:将2010年3月至2013年9月应用快速康复外科治疗的174例基底节区脑出血患者作为研究组,2008年1月至2011年2月使用传统治疗方法治疗的基底节区脑出血患者174例作为对照组。对比两组患者手术后恢复情况及并发症的差异。结果:两组治疗前日常生活能力评分(ADL)和肢体运动功能评定简易Fugl-Meyer(FMA)积分评分比较,差异无统计学意义(P>0.05)。两组治疗后1个月及治疗后6个月ADL评分及FMA评分比较,研究组治疗效果优于对照组(P<0.05)。研究组术后并发症发生率为8.6%,对照组术后并发症发生率为24.1%,研究组明显低于对照组(P<0.05)。结论:应用快速康复外科治疗基底节区脑出血能加快康复、减少并发症,临床应用安全可行。Objective To .investigate the feasibility of treatment of basis ganglia hemorrhage with the strategy of fast track surgery. Methods From March 2010 to September 2013, 174 patients with basal ganglia hemorrhage received the fast track surgery were enrolled in the study group. From January 2008 to February 2011, 174 cases with basal ganglia intracerebral hemorrhage received the traditional treatment were enrolled in the control group. Differences in recovery and complications were compared between these two groups after surgery. Results No significant differences were found in the ability of daily living assessment of ADL index score and limb movement function evaluation of simple Fugl-Meyer （FMA） integral scores between the two groups before surgery. However, the ADL score and FMA score at 1 months and 6 months after surgery were comparised between these two groups, with significant differences （P 〈 0.05）. The effect of treatment in the study group was better than that in the control group. The incidence of postoperative complications was 8.6% in the study group, was 24.1% in the control group, with significant difference （P 〈 0.05）. Conclusion Fast track surgery strategy can accelerate recovery, and reduce complications in the treatment of patients with basal ganglia hemorrhage, which is safe and feasible for clinical application.

关 键 词：脑出血 快速康复外科 基底节 

分 类 号：R651.1[医药卫生—外科学]