微创钻孔软通道引流术治疗自发性高血压脑出血的神经功能改善分析  

Effect of Minimally Invasive Drilling and Soft Channel Drainage in the Treatment of Spontaneous Hypertensive Intracerebral Hemorrhage

作　　者：袁士博[1] 崔丹[2] 牛运褀 都兴伟[1] 李晓伟[1] 原雪[1] YUAN Shibo;CUI Dan;NIU Yunqi;DU Xingwei;LI Xiaowei;YUAN Xue(Department of Neurosurgery, Daqing People's Hospital, Daqing Heilongjiang 163316, China;Department of Anesthesiology, Daqing Oilfield General Hospital, Daqing Heilongjiang 163311, China)

机构地区：[1]黑龙江省大庆市人民医院神经外科,黑龙江大庆163316 [2]黑龙江省大庆油田总医院麻醉科,黑龙江大庆163311

出　　处：《中国卫生标准管理》2017年第16期38-39,共2页China Health Standard Management

摘　　要：目的分析微创钻孔软通道引流术治疗自发性高血压脑出血的效果。方法选择2014年3月—2016年12月于我院诊治的80例自发性高血压脑出血患者。采用微创钻孔软通道引流术者40例纳入观察组;采用常规开颅血肿清除术者40例纳入对照组。比较两组患者NIHSS评分和Barthel指数变化。结果术后3个月,观察组NIHSS评分低于对照组,而Barthel指数高于对照组,差异有统计学意义(P<0.05)。结论与常规开颅手术相比,微创钻孔软通道引流术治疗自发性高血压脑出血术后患者神经功能改善更为显著。Objective To evaluate the effect of minimally invasive drilling and soft channel drainage in the treatment of spontaneous hypertensive intracerebral hemorrhage.Methods A total of80patients with spontaneous hypertensive intracerebral hemorrhage were treated in our hospital from March2014to December2016.40patients with minimally invasive soft channel drainage were included in the observation group,and40patients treated with conventional craniotomy were included in the control group.The change of NIHSS and Barthel index between two groups of patients were compared.Results The score of NIHSS in the observation group was lower than that in the control group after3months of the operation,but the Barthel index was higher than that of the control group(P<0.05).Conclusion Compared with routine craniotomy,minimally invasive drilling and soft channel drainage can improve the neurological function of patients with spontaneous hypertensive intracerebral hemorrhage.

关 键 词：高血压脑出血 自发性 钻孔引流术 软通道 

分 类 号：R651[医药卫生—外科学]