超早期微创穿刺引流术治疗基底节区脑出血的疗效  

Curative Effect of Super Early Minimally Invasive Drainage in Treatment of Cerebral Hemorrhage in Basal Ganglia

作　　者：邓光兰 

机构地区：[1]彭州同一医院内科,四川彭州611930

出　　处：《中外医疗》2017年第9期10-12,共3页China & Foreign Medical Treatment

摘　　要：目的探讨基底节区脑出血采取超早期微创穿刺引流术治疗的疗效。方法方便选取86例基底节区脑出血患者,均为2014年5月—2015年5月期间该院接收的患者,随机分为对照组(给予保守治疗或延期手术治疗,n=43)与观察组(给予超早期微创穿刺引流术治疗,n=43),观察并比较两组治疗疗效、相关时间指标及各项评分治疗前后变化情况。结果观察组患者意识障碍恢复时间、血肿消除时间及住院时间分别为(4.8±1.60)、(9.6±2.40)、(30.8±4.50)d,均显著短于对照组的(7.7±2.20)、(16.8±5.10)、(35.6±3.40)d(P<0.05);治疗4周后,两组日常生活能力评分(ADL)及神经功能缺损评分(NDS)均显著改善,而观察组改善更为显著,分别为(97.31±2.56)分、(7.71±4.35)分,对照组分别为(84.94±4.26)分、(12.95±3.26)分(P<0.05);观察组较对照组患者的临床有效率显著要高(P<0.05),分别为95.3%、86.0%。结论对基底节区脑出血患者采取超早期微创穿刺引流手术治疗,患者恢复迅速,疗效显著,且可促进日常生活能力恢复,具有推广价值。Objective To study the curative effect of super early minimally invasive drainage in treatment of cerebral hemorrhage in basal ganglia. Methods 86 cases of patients with cerebral hemorrhage in basal ganglia treated in our hospital from May 2014 to May 2015 were conveniently selected and randomly divided into two groups with 43 cases in each, the control group adopted the conservative treatment or extensive operation treatment, and the observation group adopted the super early minimally invasive drainage treatment, and the curative effect, related time index and various scores of the two groups were observed and compared. Results The awareness disorder recovery time, hematoma elimination time and length of stay in the observation group were obviously shorter than those in the control group[（4.8±1.60）,（9.6±2.40）,（30.8±4.50）d vs（7.7±2.20）,（16.8±5.10）,（35.6±3.40）d]（P〈0.05）, after 4w treatment, the ADL and NDS scores of the two groups were obviously improved, but the improvement degree in the observation group was more obvious, the scores in the observation group and the control group were respectively（97.31±2.56）points,（7.71±4.35）points and（84.94±4.26）points and（12.95±3.26）points（P〈0.05）, the clinical effective rate in the observation group was higher than that in the control group（95.3% vs86.0%）（P〈0.05）. Conclusion The super early minimally invasive drainage in treatment of cerebral hemorrhage in basal ganglia can promote the patients to recover rapidly and promote the recovery of activities of daily living and the curative effect is obvious, which is worth promotion.

关 键 词：超早期 基底节区脑出血 疗效 微创穿刺引流术 

分 类 号：R651[医药卫生—外科学]