微创脑室内血肿液化引流术治疗的效果分析  

Analysis of the Effect of Minimally Invasive Liquefied Drainage of Intracranial Hematoma in the Treatment of Intracranial Hematoma

作　　者：万祖安 刘学勇 程敏 WAN Zu’an;LIU Xueyong;CHENG Min(Surgery Department,Xiangyang Hospital of Integrated Traditional Chinese and Western Medicine,Xiangyang Hubei 441004,China)

机构地区：[1]襄阳市中西医结合医院外科

出　　处：《中国继续医学教育》2019年第35期143-146,共4页China Continuing Medical Education

摘　　要：目的尿激酶软通道微创脑室内血肿液化引流术治疗自发性脑室内出血的效果分析。方法选取2014年6月-2018年6月在本院接受治疗的自发性脑室内出血共52例,作为本次研究的对象,将所选患者平均随机分为对照组和研究组,研究组的患者采用尿激酶软通道微创脑室内血肿液化引流术治疗方式,对照组患者采用内科保守治疗方式,除治疗的方式不同外,其余护理及用药强度相同。比较患者临床疗效及两组患者手术时间及住院时间,评估患者的神经功能、生活能力及功能状态。结果研究组患者的自发性脑室内出血的治疗临床效果明显优于对照组(P <0.05),观察组的手术时间及住院时间分别为(28.31±3.69)min和(15.38±3.28)d,对照组的手术时间及住院时间分别为(75.89±5.47)min和(19.01±2.34)d,明显低于对照组,差异具有统计学意义(P <0.05);治疗前两组神经功能、生活能力及功能状态评价均较差,且评分差异无统计学意义,P> 0.05;治疗后观察组神经功能、生活能力及功能状态评价均显著优于对照组,P<0.05。结论应用尿激酶软通道微创脑室内血肿液化引流术的治疗方式,能够大大提高患者的生存机会,最大限度的清除脑内的积血,降低了产生并发症的可能,降低了死亡率,缩短住院时间,为提升患者的生存质量,改善患者的预后起到了一定的积极作用,有助于提高医护人员的工作效率。Objective To analyze the effect of the treatment of spontaneous intraventricular hemorrhage by the use of a soft-channel minimally invasive intraventricular hematomas in the treatment of spontaneous intraventricular hemorrhage.Methods To select a total of 52 spontaneous intraventricular hemorrhage treated in our hospital from June 2014 to June 2018.As an object of this study,the selected patients are randomly divided into the control group and the study group.The patients in the study group are treated with urokinase-soft-channel minimally invasive intraventricular hematoma liquefaction and drainage.The patients in the control group are treated with a conservative treatment.In addition to the treatment methods,the rest of the care and the drug intensity are the same.The clinical curative effect of the patients and the operation time and the living time of the two groups of patients are compared.The hospital time was used to evaluate the neurological function,living ability and functional status of the patients.Results The clinical effect of spontaneous intraventricular hemorrhage in the study group was significantly better than that in the control group(P < 0.05).The operation time and hospitalization time in the observation group were(28.31 ± 3.69) min and(15.38 ± 3.28) days,respectively.The operation time and hospitalization time in the control group were(75.89 ± 5.47) min and(19.01 ± 2.34) days respectively,which were significantly lower than those in the control group(P < 0.05).Neurological function,living ability and functional state of the two groups before treatment There was no significant difference in the state evaluation,and there was no significant difference in the score,P > 0.05,and the neurological function,the living ability and the functional status of the observation group were significantly better than that in the control group(P < 0.05).Conclusion The method of using urokinase-soft-channel minimally invasive brain hematoma liquefaction and drainage can greatly improve the survival opportun

关 键 词：尿激酶 微创 液化 引流术 自发性脑室内出血 临床效果 

分 类 号：R743[医药卫生—神经病学与精神病学]