微创联合置管吸引手术对脑出血患者生活质量的影响  

Effect of minimally invasive catheter drainage on quality of life in patients with cerebral hemorrhage

作　　者：杨秋雄 蔡奋忠 YANG Qiuxiong;CAI Fenzhong(Department of Neurosurgery, The Ninety-fifth Hospital of PLA, Putian 351100, China)

机构地区：[1]中国人民解放军第九五医院神经外科

出　　处：《外科研究与新技术》2019年第2期84-87,共4页Surgical Research and New Technique

基　　金：莆田市科技计划项目(2010S09-4)

摘　　要：目的探究微创联合置管吸引手术对脑出血患者生活质量的影响。方法在2014年1月至2018年12月期间收治的脑出血患者中选出200例进行研究,以手术的不同作为分组依据,即选用传统开颅清除术、微创联合置管吸引手术治疗的患者分别纳入对照组、研究组,两组各100例。评估两组脑神经缺损程度、生活质量,并记录术后并发症发生情况。结果在治疗前,两组NIHSS评分、SS-QoL评分较接近,差异无统计学意义(P>0.05);在治疗后,两组NIHSS评分均下降,SS-QoL评分均提升,但研究组以上指标降幅、升幅更大,两组间差异有统计学意义(P<0.05)。同时,术后对照组、研究组并发症发生率分别为21.00%、8.00%,研究组并发症发生率更低,两组间差异有统计学意义(P<0.05)。结论予以脑出血患者微创联合置管吸引手术治疗,在改善脑神经功能时可促进生活质量的提升,值得临床广泛应用。Objective To explore the effect of minimally invasive catheter drainage on the quality of life in patients with cerebral hemorrhage. Methods A total of 200 cases of cerebral hemorrhage admitted to our hospital from January 2014 to December 2018 were selected for study, and divided according the surgical methods into control group ( n =100, patients who were treated with traditional craniotomy) and study group ( n =100, patients who were treated with minimally invasive catheter drainage).Neurologic deficit and quality of life of the two groups were evaluated, and postoperative complications were recorded. Results Before treatment, the scores of NIHSS and SS-QoL in the two groups were similar, with no significant difference ( P >0.05).After treatment, the NIHSS scores of the two groups both decreased, while the SS-QoL scores of the two groups both increased.However, the study group showed greater changes ( P <0.05).Meanwhile, the incidence rate of postoperative complications was 21.00% in the control group and 8.00% in the study group, and there was a significant difference between the two groups ( P < 0.05 ). Conclusion Minimally invasive catheter drainage surgery for cerebral hemorrhage can improve the quality of life and cerebral nerve function of patients, and is worthy of wide clinical application.

关 键 词：微创 置管吸引手术 脑出血 生活质量 

分 类 号：R605.972[医药卫生—急诊医学]