颅脑钻孔引流术对中老年重度颅脑损伤并发高血压脑出血患者神经功能的影响  

Effect of craniocerebral drilling and drainage on neurological function of middle-aged and elderly patients with severe craniocerebral injury complicated with hypertensive intracerebral hemorrhage

作　　者：许永刚[1] 黄亮[1] 张罡[1] XU Yonggang;HUANG Liang;ZHANG Gang(Department of Neurosurgery,Xiantao First People's Hospital,Xiantao,Hubei,433000)

机构地区：[1]湖北省仙桃市第一人民医院神经外科,湖北仙桃433000

出　　处：《实用临床医药杂志》2018年第3期19-22,共4页Journal of Clinical Medicine in Practice

基　　金：湖北省卫计厅基金资助项目(WJ2015MB248)

摘　　要：目的分析颅脑钻孔引流术对重度颅脑损伤并发高血压脑出血患者神经功能的影响。方法选取128例重度颅脑损伤并发高血压脑出血患者,随机分为对照组、研究组各64例。对照组患者采用常规开颅手术,研究组患者采用颅脑钻孔引流术联合开颅术治疗。比较2组患者治疗前后神经功能、生活质量及手术时间、意识恢复时间、下床活动时间、术后住院时间。结果治疗后,2组患者神经功能NIHSS评分均显著低于治疗前,且研究组显著低于对照组(P<0.05);治疗后,2组患者生活质量MOS SF-36评分均显著高于治疗前,且研究组显著高于对照组(P<0.05);研究组患者手术时间、术后意识恢复时间、术后下床活动时间、术后住院时间均显著优于对照组(P<0.05)。结论采用颅脑钻孔引流术治疗重度颅脑损伤并发高血压脑出血可有效缩短手术时间,迅速降低患者颅内压,提高患者神经功能,提高患者生活质量,值得临床推广。Objective To explore the effect of craniocerebral drilling and drainage on neurological function of middle-aged and elderly patients with severe craniocerebral injury complicated with hypertensive intracerebral hemorrhage.Methods Totally 128 patients with severe craniocerebral injury complicated with hypertensive intracerebral hemorrhage were selected and randomly divided into control group and study group,64 cases in each group.The patients in the control group were treated with conventional craniotomy,and the patients in the study group were treated with craniotomy and craniotomy.The neurological function,quality of life and operation time,consciousness recovery time,time of getting out of bed and hospitalization time were observed and compared between the two groups before and after treatment.Results After treatment,NIHSS score of neurological function was significantly lower than that before treatment in both groups,and the study group was significantly lower than the control group(P<0.05).After treatment,quality of life evaluated by MOS SF-36 was significantly higher than that before treatment in both group,and the study group was significantly higher than control group(P<0.05).In the study group,the operation time,postoperative consciousness recovery time,postoperative ambulation time and hospitalization time were significantly better than the control group(P<0.05).Conclusion For patients with severe craniocerebral injury complicated with hypertensive intracerebral hemorrhage,craniocerebral drilling and drainage can effectively shorten the operation time,reduce intracranial pressure and improve neurological function,so it is worthy of clinical popularization.

关 键 词：颅脑钻孔引流术 颅脑损伤 高血压脑出血 神经功能 

分 类 号：R743.34[医药卫生—神经病学与精神病学]