老年患者慢性硬膜下血肿手术及保守治疗的疗效比较  

Comparison of the Efficacy and Conservative Treatment of Chronic Subdural Hematoma in Elderly Patients

作　　者：马振泽[1] 徐胜宏[1] MA Zhen-ze;XU Sheng-hong(Department of Neurosurgery,Jurong People's Hospital,Jurong,Jiangsu Province,212400 China)

机构地区：[1]句容市人民医院神经外科,江苏句容212400

出　　处：《中外医疗》2018年第23期68-70,共3页China & Foreign Medical Treatment

摘　　要：目的探究采取手术方式和保守治疗方式对于老年慢性硬膜下血肿治疗的效果并进行对比分析。方法 2014年10月—2017年12月间随机选取该院老年慢性硬膜下血肿患者67例作为研究对象进行研究,根据患者治疗方式的不同分为对照组33例和观察组34例,其中对照组患者采取服用药物保守治疗,观察组患者采取钻孔引流手术方式进行治疗,对比治疗效果。结果观察组患者治疗3个月后血肿消失率为41.18%,6个月后的血肿消失率为76.47%,显著高于对照组患者(χ~2=12.664、10.487,P<0.05);观察组患者血肿复发情况为0.00%,显著低于对照组(χ~2=7.203,P<0.05);观察组患者的生活质量等级中差的患者所占比例为2.94%,显著低于对照组(χ~2=4.335,P<0.05);满意度为100.00%,显著高于对照组(χ~2=23.578,P<0.05)。结论采取钻孔引流手术方式治疗老年慢性硬膜下血肿在提高治疗效率的同时加快了患者的康复进度,使患者复发情况降低,值得临床参考。Objective To investigate the effect of surgical treatment and conservative treatment on chronic subdural hematoma in elderly patients and to make a comparative analysis.Methods 67 cases of elderly patients with chronic subdural hematoma in the hospital from October 2014 to December 2017 were randomly selected as study subjects.According to the different treatment methods,the patients were divided into control group(33 cases)and observation group(34 cases).Patients in the control group were treated with conservative medications and observation group patients adopted drilling drainage and compare the treatment effect.Results The disappearance rate of hematoma in the observation group was 41.18%after 3 months of treatment,and the disappearance rate of hematoma after 6 months was 76.47%,which was significantly higher than that of the control group(χ^2=12.664,10.487,P<0.05);the hematoma recurrence rate in the observation group was 0.00%,which was significantly lower than that of the control group(χ^2=7.203,P<0.05).The proportion of patients with poor quality of life in the observation group was 2.94%,which was significantly lower than that of the control group(χ^2=4.335,P<0.05);satisfaction was 100.00%significantly higher than the control group(χ^2=23.578,P<0.05).Conclusion The treatment of elderly patients with chronic subdural hematoma by drilling and drainage is effective in improving the efficiency of treatment while accelerating the patient's rehabilitation progress and reducing the recurrence of patients,which is worthy of clinical reference.

关 键 词：慢性硬膜下血肿 保守治疗 钻孔引流术 疗效 

分 类 号：R651[医药卫生—外科学]