老年人高血压脑出血微创穿刺引流术与内科保守治疗的临床观察  

Clinical Observation of Minimally Invasive Puncture and Drainage and Conservative Treatment of Internal Medicine in Elderly Patients with Hypertensive Cerebral Hemorrhage

作　　者：吴军辉 WU Junhui(Chongqing Youyang County People’s Hospital,Chongqing 409800,China)

机构地区：[1]重庆市酉阳县人民医院,重庆409800

出　　处：《中外医学研究》2020年第11期132-134,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨老年人高血压脑出血微创穿刺引流术与内科保守治疗的临床观察。方法:选取2017年1月-2019年7月在笔者所在医院治疗的高血压脑出血老年患者102例作为本次研究对象,按照随机数字表法将其分为研究组和对照组,各51例。对照组应用内科保守治疗,研究组应用微创穿刺引流术治疗。比较两组治疗前后血肿、水肿容积及治疗效果。结果:研究组治疗后血肿、水肿容积均优于对照组,差异有统计学意义(P<0.05)。研究组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论:老年人高血压脑出血的治疗过程当中,微创穿刺引流术的治疗效果理想,能够有效地清除颅内血肿,而且还能够缓解血肿周围引起的组织水肿,从而能够更好地对疾病进行控制,提高治疗效果,临床上应当进一步推广应用。Objective:To explore the clinical observation of minimally invasive puncture and drainage and conservative treatment of internal medicine in elderly patients with hypertensive cerebral hemorrhage.Method:A total of 102 elderly patients with hypertensive intracerebral hemorrhage treated in our hospital from January 2017 to July 2019 were selected as the subjects of this study.According to the random number table method,they were divided into the study group and the control group,51 cases in each group.The control group was treated with conservative internal medicine,the study group was treated with minimally invasive puncture and drainage.The hematoma,edema volume before and after treatment and therapeutic effect were compared between the two groups.Result:The hematoma and edema volume in the study group were better than those in the control group,and the differences were statistically significant (P<0.05).The total effective rate of treatment in the study group was higher than that in the control group,and the difference was statistically significant (P<0.05).Conclusion:In the treatment of hypertensive cerebral hemorrhage in the elderly,minimally invasive puncture and drainage has ideal therapeutic effect,can effectively remove the intracranial hematoma,and also can alleviate the tissue edema around the hematoma,so as to better control the disease,improve the therapeutic effect.It should be further popularized and applied in clinic.

关 键 词：高血压脑出血 老年人 微创穿刺引流术 内科保守治疗 

分 类 号：R651.1[医药卫生—外科学]