简易立体定向法穿刺手术对脑出血患者的临床疗效及患者电解质水平的影响  

Clinical effect of simple stereotactic puncture on patients with intracerebral hemorrhage and its effect on electrolyte level

作　　者：郭艳峰[1] 贺龙[1] 颞拴锁 高建洲[1] 常祥平[1] Guo Yanfeng;He Long;Nie Shuansuo;Gao Jianzhou;Chang Xiangping(Second Department of Neurosurgery,The First Hospital of Handan City,Handan 056002,China)

机构地区：[1]邯郸市第一医院神经外二科,056002

出　　处：《国际医药卫生导报》2019年第18期3083-3085,共3页International Medicine and Health Guidance News

摘　　要：目的探讨脑出血患者采用简易立体定向法穿刺手术治疗对其临床疗效及电解质水平的影响。方法收集本院2016年8月至2018年10月收治的脑出血患者88例临床资料,依据治疗术式分为两组,各44例。对照组采用开颅血肿清除术,试验组采用简易立体定向法穿刺手术,比较两组围术期指标、临床疗效、电解质水平、并发症。结果术后,试验组血钾、血钠水平均较对照组高,术中出血量、手术时间、并发症发生率较对照组低,差异有统计学意义(P<0.05);两组临床疗效相比,差异无统计学意义(P>0.05)。结论脑出血采用简易立体定向法穿刺手术治疗效果显著,可维持电解质平衡,减轻手术创伤,降低并发症发生率。Objective To investigate the clinical effect of simple stereotactic puncture on patients with intracerebral hemorrhage and its effect on electrolyte level. Methods The clinical data of 88 patients with cerebral hemorrhage treated in our hospital from August 2016 to October 2018 were collected, who were divided into two groups according to the treatment methods, 44 cases in each group. The control group was treated with craniotomy, while the experimental group was treated with simple stereotactic puncture. The perioperative indexes, clinical efficacy, electrolyte level, and complications were compared between the two groups. Results After operation, the levels of serum potassium and sodium in the experimental group were higher than those in the control group, the amount of intraoperative blood loss, operation time, and the incidence of complications in the experimental group were lower than those in the control group, with statistically significant differences between the two groups (P<0.05). There was no statistically significant difference in the clinical effect between the two groups (P>0.05). Conclusion Simple stereotactic puncture is effective in the treatment of cerebral hemorrhage, which can maintain electrolyte balance, reduce surgical trauma and the incidence of complications.

关 键 词：脑出血 简易立体定向法穿刺手术 开颅血肿清除术 电解质水平 

分 类 号：R651.1[医药卫生—外科学]