微创钻孔引流术治疗高血压脑出血患者的临床效果  

Clinical effects of minimally invasive trepanation and drainage for patients with hypertensive cerebral hemorrhage

作　　者：翟文华[1] ZHAI Wenhua(2nd Department of Neurosurgery of the First People’s Hospital of Shangqiu City,Shangqiu 476100 Henan,China)

机构地区：[1]商丘市第一人民医院神外二科,河南商丘476100

出　　处：《中国民康医学》2020年第12期4-5,8,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察微创钻孔引流术治疗高血压脑出血患者的临床效果。方法:选取70例高血压脑出血患者作为研究对象,依据随机数字表法分为对照组与观察组,每组35例。对照组予开颅血肿清除术治疗,观察组予微创钻孔引流术治疗,比较两组患者临床总有效率,治疗前后美国国立卫生研究院卒中量表(NIHSS)评分、日常生活能力量表(ADL)评分及术后并发症发生率。结果:观察组临床总有效率为97.14%,高于对照组的77.14%,差异有统计学意义(P<0.05);治疗后,两组NIHSS评分均低于治疗前,且观察组低于对照组,两组ADL评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为2.86%,低于对照组的14.29%,差异无统计学意义(P>0.05)。结论:微创钻孔引流术治疗高血压脑出血患者,可提高临床总有效率和ADL评分,降低并发症发生率和NIHSS评分,其效果优于开颅血肿清除术治疗效果。Objective: To observe clinical effects of minimally invasive trepanation and drainage for patients with hypertensive cerebral hemorrhage. Methods: 70 patients with hypertensive intracerebral hemorrhage were selected as the research objects, and were divided into control group and observation group according to the random number table method, 35 cases in each group. The control group was treated with craniotomy evacuation of hematoma, while the observation group was treated with minimally invasive trepanation and drainage. The total clinical effective rate, the National Institutes of Health Stroke Scale(NIHSS) score and activity of daily living(ADL) score before and after the treatment, and postoperative complication rate were compared between the two groups. Results: The total clinical effective rate of the observation group was 97.14%, which was higher than the control group of 77.14%, and the difference was statistically significant(P<0.05). After the treatment, the NIHSS scores of the two groups were lower than those before the treatment, and that of the observation group was lower than that of the control group;the ADL scores of the two groups were higher than those before the treatment, that of the observation group was higher than that of the control group;and the differences were statistically significant(P<0.05). The incidence rate of complications in the observation group was 2.86%, which was lower than the control group of 14.29%, and the difference was not statistically significant(P>0.05). Conclusions: Minimally invasive trepanation and drainage for the patients with hypertensive cerebral hemorrhage can improve the overall clinical effective rate and ADL score, and reduce the incidence of complications and NIHSS score. Moreover, it is superior to craniotomy evacuation of hematoma.

关 键 词：高血压脑出血 微创钻孔引流术 神经功能缺损程度 日常生活能力 

分 类 号：R743.34[医药卫生—神经病学与精神病学]