硬通道微创穿刺引流术在高血压脑出血患者中的应用及再出血影响因素研究  

Application of hard-channel minimally invasive puncture drainage in patients with hypertensive intracerebral hemorrhage and study of influencing factors of rebleeding

作　　者：廖恺 曹亚琨 余斐 Liao Kai;Cao Yakun;Yu Fei(Yingtan People's Hospital,Yingtan,Jiangxi,335000,China)

机构地区：[1]鹰潭市人民医院神经外科

出　　处：《当代医学》2020年第4期110-112,共3页Contemporary Medicine

摘　　要：目的探讨硬通道微创穿刺引流术在高血压脑出血患者中的应用及再出血的影响因素。方法选取本院2017年11月至2019年2月收治的高血压脑出血患者160例,按照随机编号法分为观察组与对照组,各80例。对照组采取软通道微创穿刺引流术,观察组采用硬通道微创穿刺引流术。使用卒中量表(NIHSS)评价两组术前术后神经功能缺损状况,对比分析两组术后再出血率,并探讨再出血的影响因素。结果观察组治疗后术后再出血率低于对照组,且血肿清除率高于对照组(P<0.05);年龄、术前SBP、术后SBP、出血量均是高血压脑出血患者术后再出血的影响因素(P<0.05)。结论对高血压脑出血患者进行硬通道微创穿刺引流术治疗能有效改善患者神经功能缺损状况,年龄、术前SBP、术后SBP、出血量均是术后再出血的影响因素。Objective To investigate the application of hard-channel minimally invasive puncture drainage in patients with hypertensive intracerebral hemorrhage and the influencing factors of rebleeding.Methods A total of 160 patients with hypertensive intracerebral hemorrhage admitted to the hospital from November 2017 to February 2019 were selected.The patients were divided into observation group(80 cases)and control group(80 cases)according to the random numbering.Control group underwent soft-channel minimally invasive puncture drainage,and observation group was given hard-channel minimally invasive puncture drainage.The neurological deficits in the two groups before and after operation were evaluated using National Institutes of Health Stroke Scale(NIHSS).The postoperative rebleeding rate was compared and analyzed in the two groups,and the influencing factors of rebleeding were discussed.Results The postoperative rebleeding rate in observation group after treatment was lower than that in control group while the hematoma clearance rate was higher than that in control group(P<0.05).Age,preoperative SBP,postoperative SBP and blood loss were influencing factors of postoperative rebleeding in patients with hypertensive intracerebral hemorrhage(P<0.05).Conclusion Hardchannel minimally invasive puncture drainage for patients with hypertensive intracerebral hemorrhage can effectively improve neurological deficits.Age,preoperative SBP,postoperative SBP,and blood loss are influencing factors of postoperative rebleeding.

关 键 词：硬通道微创穿刺引流术 高血压脑出血 应用价值 再出血 影响因素 

分 类 号：R651.1[医药卫生—外科学]