脑出血微创手术联合置管吸引手术对老年脑出血患者神经功能和生活质量的影响  

Effect of Minimally Invasive Surgery Combined with Catheter Attracted Surgery on Neurological Function and Quality of Life in Elderly Patients with Cerebral Hemorrhage

作　　者：王顺帆 WANG Shunfan(Suizhou City Zengdu Hospital,Suizhou 441300,China)

机构地区：[1]随州市曾都医院,湖北随州441300

出　　处：《中外医学研究》2018年第9期10-12,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究脑出血微创手术与置管吸引手术联合治疗对老年脑出血患者神经功能、生活质量的影响。方法:选取2016年7月-2017年7月收治的130例脑出血老年患者临床资料予以回顾性分析,其中行传统开颅清除术者为对照组(65例),行微创手术及置管吸引手术者为研究组(65例),比较两组神经功能评分、并发症发生率及生活质量。结果:两组术前神经功能评分比较,差异无统计学意义(t=0.972 4,P>0.05);术后3个月,研究组NIHSS评分(12.22±3.71)分,显著低于对照组,差异有统计学意义(t=13.614 5,P<0.01);研究组并发症总发生率6.15%显著低于对照组,差异有统计学意义(P<0.05);研究组躯体疼痛、社会功能、生理职能、情感职能评分分别为(65.28±4.09)、(66.72±4.03)、(65.47±4.18)、(66.61±4.32)分,高于对照组,差异均有统计学意义(t=19.284 3、20.048 0、18.659 4、19.281 0,P<0.01)。结论:老年脑出血患者行微创、置管吸引术联合治疗,可有效提升疗效,值得推广。Objective:To investigate the effect of minimally invasive cerebral hemorrhage surgery combined with catheter attracted surgery on neurological function and quality of life in elderly patients with cerebral hemorrhage.Method:The clinical data of 130 elderly patients with cerebral hemorrhage from July 2016 to July 2017 were retrospective analyzed.The traditional craniotomy was performed as the control group(65 cases),and the patients underwent minimally invasive surgery and intubation surgery as the study group(65 cases).The neurological score,complication rate and quality of life were compared between the two groups.Result:There was no significant difference in the scores of preoperative neurological function between the two groups(t=0.972 4,P>0.05).After 3 months of treatment,the neurological score of(12.22±3.71)points in the study group was significantly lower than that in the control group(t=13.614 5,P<0.01).The total incidence of complications was 6.15%in the study group,significantly lower than that in the control group,the difference was statistically significant(X2=6.448 4,P<0.05).The body pain,social function,physiological function,emotional function of(65.28±4.09),(66.72±4.03),(65.47±4.18),(66.61±4.32)points were higher in the study group than those in the control group,the differences were statistically significant(t=19.284 3,20.048 0,18.659 4,19.281 0,P<0.01).Conclusion:In patients with senile cerebral hemorrhage,minimally invasive treatment and catheterization combined therapy can effectively improve the curative effect and it is worth of popularizing.

关 键 词：脑出血 老年 微创 神经功能 置管吸引 

分 类 号：R651.1[医药卫生—外科学]