微创穿刺血肿清除术治疗老年高血压基底核区脑出血的疗效观察  

Clinical Effect of Minimally Invasive Surgery in the Removal of Hematoma for Elderly Patients with Basal Ganglia Intracerebral Haemorrhage

作　　者：高扬[1] 

机构地区：[1]鞍山市长大医院,辽宁鞍山114000

出　　处：《航空航天医学杂志》2017年第12期1438-1439,共2页Journal of Aerospace medicine

摘　　要：目的观察基底核区脑出血的老年高血压患者临床行微创穿刺血肿清除术治疗的效果。方法以2016年1月~2017.年1月收治的84例老年高血压基底核区脑出血者为研究对象,采用随机排列表法将患者分为对照、研究两组,每组人数为42例,其中对照组行开颅手术清除血肿,研究组以微创穿刺血肿清除术治疗,观察两组患者神经功能缺损评分情况,统计患者术后并发症情况。结果用药后研究组神经功能评分低于对照组,P<0.05;并发症统计研究组发生率为4.8%与对照组14.3%比较,研究组并发症少,P<0.05。结论基底核区高血压性脑出血的老年患者以微创穿刺血肿清除术治疗,并发症少,术后神经功能恢复良好。Objective To observe the clinical effect of minimally invasive surgery in the removal of hematoma for elderly patients with basal ganglia intracerebral haemorrhage. Methods 84 elderly patients with basal ganglia intracere- bral haemorrhage treated from January 2016 to January 2017 in our hospital were selected. The subjects were randomly divided into two groups, 42 cases each group. The control group received the craniotomy; the study group received the minimally invasive surgery. The NIHSS （the National Institutes of Health Stroke Scale） points and the incidence rate of postoperative complications for two groups were observed. Results After treatment, the NIHSS points for study group were significantly lower than control group （P 〈 0. 05） ; the incidence rate of postoperative complications for study group （4. 8% ） was significantly lower than control group （ 14. 3 % ） （P 〈 0. 05 ）. Conclusions For elderly patients with basal ganglia intracerebral haemorrhage, the minimally invasive surgery can reduce the incidence rate of postoperative compli- cations and promote the recovery of neurological function.

关 键 词：高血压 老年 脑出血 微创穿刺血肿清除 

分 类 号：R743.34[医药卫生—神经病学与精神病学]