脑出血硬通道微创穿刺术中使用旋转抽吸法对血肿清除率及预后的影响  

Effect of Rotational Aspiration on Hematoma Clearance and Prognosis in Minimally Invasive Puncture of Cerebral Hemorrhage

作　　者：孙兵[1] SUN Bing(Department of Neurosurgery,Taizhou People＇s Hospital,Taizhou,Jiangsu Province,225300 China)

机构地区：[1]泰州市人民医院神经外科,江苏泰州225300

出　　处：《系统医学》2018年第19期91-93,共3页Systems Medicine

摘　　要：目的分析脑出血硬通道微创穿刺术中使用旋转抽吸法对血肿清除率及预后的影响。方法将2014年3月—2018年3月该院收治的脑出血患者90例作为该次研究对象,按照随机数字表法分为观察组与对照组,每组45例。对照组采用非旋转抽吸法,观察组采用旋转抽吸法,对比两组血肿清除率、血肿体积及患者预后效果。结果观察组治疗有效率为97.78%,显著高于对照组的82.22%,差异有统计学意义(χ~2=4.444,P=0.014);两组患者血肿体积比较差异无统计学意义(t=0.092,P=0.927>0.05);观察组血肿清除率为82.34%显著高于对照组64.39%,差异有统计学意义(χ~2=8.219,P=0.000);观察组患者Barthel评分为(68.39±9.45)分高于对照组Barthel评分为(52.19±9.22)分,差异有统计学意义(t=8.231,P=0.000)。结论对于脑出血患者而言,于硬通道微创穿刺术中使用旋转抽吸法可有效清除颅内血肿,具有较高的清除率,且预后恢复效果较好,患者生活自理能力强,在临床应用中具有推广价值。Objective To analyze the effect of rotary aspiration on hematoma clearance and prognosis in patients with cerebral hemorrhage hard-course minimally invasive puncture. Methods 90 patients with cerebral hemorrhage admitted to the hospital from March 2014 to March 2018 were enrolled in this study. They were divided into observation group and control group according to the random number table method, with 45 cases in each group. The control group was treated with non-rotating aspiration, and the observation group was treated with rotary aspiration. The hematoma clearance rate, hematoma volume and prognosis of the patients were compared. Results The effective rate of the observation group was 97.78%, which was significantly higher than that of the control group （82.22）%. The difference was statistically significant （χ2=4.444, P=0.014）. There was no significant difference in hematoma volume between the two groups （t=0.092, P=0.927〉0.05）; the hematoma clearance rate of the observation group was 82.34%, which was significantly higher than that of the control group （64.39%）. The difference was statistically significant （χ2=8.219, P=0.000）. The Barthel score of the observation group was （68.39±9.45）points. The Barthel score in the control group was （52.19±9.22）points, and the difference was statistically significant （t=8.231, P=0.000）. Conclusion For patients with cerebral hemorrhage, the use of rotary aspiration in hard-channel minimally invasive puncture can effectively remove intracranial hematoma, with a high clearance rate, and the prognosis recovery effect is good, patients have strong self-care ability, with application and promotional value in clinical.

关 键 词：脑出血 硬通道 微创穿刺术 旋转抽吸法 血肿清除率 预后恢复 

分 类 号：R59[医药卫生—内科学]