简易体表定位微创血肿清除术治疗自发性脑内血肿临床疗效及神经功能分析  

Clinical efficacy and neurological function analysis of simple surface location and minimally invasive hematoma evacuation in the treatment of spontaneous intracerebral hematoma

作　　者：徐叶[1] XU Ye(Dept.of Neurosurgery,the 1st People’s Hospital of Foshan,Foshan 528000,China)

机构地区：[1]佛山市第一人民医院神经外科,广东佛山528000

出　　处：《华夏医学》2019年第5期41-43,共3页Acta Medicinae Sinica

摘　　要：目的:分析简易体表定位微创血肿清除术治疗自发性脑内血肿临床疗效及神经功能。方法:选择本院收治87例自发性脑内血肿患者按随机数表分为两组,对照组43例给予常规内科治疗,研究组44例在对照组基础上行简易体表定位微创血肿清除术,比较两组患者临床疗效及神经功能。结果:研究组患者治疗14 d及治疗28 d后NIHSS评分明显比对照组高,差异有统计学意义(P<0.05);研究组患者治疗后生活质量评分明显比对照组高,差异有统计学意义(P<0.05);研究组患者满意度为93.18%,明显比对照组76.74%高,差异有统计学意义(P<0.05)。结论:自发性脑内血肿患者采用简易体表定位微创血肿清除术治疗,可改善患者神经功能,有效提高患者生活质量及临床满意度。Objective:To analyze the clinical efficacy and neurological function of simple surface location and minimally invasive hematoma evacuation in the treatment of spontaneous intracerebral hematoma.Methods:87 patients with spontaneous intracerebral hematoma treated in our hospital were randomized into two groups.43 patients in the control group were treated with conventional medical treatment,while the other 44 patients in the study group recieved the minimally invasive hematoma evacuation based on the methods performed on the control group.Then the clinical efficacy and neurological function of the two groups were compared.Results:The NIHSS scores of the study group were significantly higher than those of the control group after 14 days and 28 days’treatment,which were of statistical differences(P<0.05);the life quality score of the study group was higher than that of the control group,which was of statistical significance(P<0.05);and the satisfaction of the study group was 93.18%,significantly higher than 76.74%of the control group,which was of significant difference(P<0.05).Conclusion:The adoption of simple surface localization and minimally invasive hematoma removal surgery can effectively improve neurological function,quality of life and clinical satisfaction of patients.

关 键 词：简易体表定位 微创血肿清除术 自发性脑内血肿 神经功能 

分 类 号：R651.15[医药卫生—外科学]