颅内微创穿刺引流术对35例老年高血压脑出血患者的疗效观察  

Effect of minimally invasive intracranial puncture and drainage on elderly patients with hypertensive intracerebral hemorrhage in 35 cases

作　　者：蔡昭皓 杨正德[1] 王列 张贵金[1] 潘刚 Cai Zhaohao;Yang Zhengde;Wang Lie;Zhang Guijin;Pan Gang(Department of Neurosurgery,the Second People's Hospital of Dujiangyan City,Sichuan Province 611830)

机构地区：[1]四川省都江堰市第二人民医院神经外科,四川省都江堰市611830

出　　处：《中国社区医师》2017年第29期19-20,共2页Chinese Community Doctors

摘　　要：目的:探讨颅内微创穿刺引流术治疗老年高血压脑出血患者的临床疗效。方法:收治老年高血压脑出血患者60例,分为对照组和试验组。试验组采用颅内微创穿刺引流术治疗,对照组采用标准去骨瓣减压血肿清除术治疗,比较两组治疗效果。结果:试验组治疗后7~21 d脑血肿及水肿体积均明显低于对照组(P<0.01)。术后14 d^1个月试验组NIHSS评分低于对照组(P<0.01)。术后3个月两组NIHSS评分差异无统计学意义(P>0.05)。结论:应用颅内微创穿刺引流术可明显降低老年高血压脑出血患者脑血肿及水肿体积,有助于神经功能恢复。Objective:To explore the effect of minimally invasive intracranial puncture and drainage on elderly patients withhypertensive intracerebral hemorrhage.Methods:60elderly patients with hypertensive intracerebral hemorrhage were selected.They were divided into the control group and the experimental group.The experimental group was treated by minimally invasiveintracranial puncture and drainage,and the control group was treated with standard decompressive craniectomy and evacuation ofhematoma.We compared the therapeutic effect of two groups.Results:At7to21days after treatment,the hematoma volume andedema volume of the experimental group were significantly lower than those of the control group(P<0.01).At14days to1monthafter treatment,the NIHSS score of the experimental group was lower than the control group(P<0.01).At3months after operation,there was no significant difference in NIHSS score between groups(P>0.05).Conclusion:Minimally invasive intracranial punctureand drainage can significantly reduce the volume of hematoma and edema in elderly patients with hypertensive intracerebralhemorrhage,and was helpful for the recovery of neurological function.

关 键 词：高血压脑出血 颅内微创穿刺引流术 神经功能 老年 

分 类 号：R651.1[医药卫生—外科学]