立体定向技术治疗少量基底节区脑区脑出血的疗效分析  

An analysis of the therapeutic effect of stereotactic technique on small amount of cerebral hemorrhage in basal ganglia

作　　者：张占阅 张安龙[1,2] 梅小龙 张春阳[1,2] ZHANG Zhanyue;ZHANG Anlong;MEI Xiaolong;ZHANG Chunyang(Department of Neurosurgery,the First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology,Inner Mongolia,Baotou 014010,China;The Engineering Technology Center for Bone Tissue Regeneration and Injury Repair of Inner Mongolia Autonomous Region,Inner Mongolia,Baotou 014010,China)

机构地区：[1]内蒙古科技大学包头医学院第一附属医院神经外科,内蒙古包头014010 [2]内蒙古自治区骨组织再生与损伤修复工程技术中心,内蒙古包头014010

出　　处：《中国医药科学》2020年第15期13-15,共3页China Medicine And Pharmacy

基　　金：国家自然科学基金(81660214);内蒙古自治区原卫生计生科研计划项目(201701097)。

摘　　要：目的探讨应用立体定向技术治疗少量基底节区脑出血的效果,为临床提供依据。方法选取我院2017年1月~2019年1月收治的58例基底节区脑出血患者为研究对象,随机分为保守治疗组和立体定向组,各29例,观察两组患者在发病后、治疗14d和28d的临床神经功能缺损评分和死亡率、住院时间。结果发病后两组的临床神经功能缺损评分比较差异无统计学意义(P>0.05);治疗14d和28d的临床神经功能缺损评分比较差异有统计学意义(P<0.05),立体定向组评分明显下降;两组患者死亡率、住院时间比较差异有统计学意义(P<0.05)。结论对于少量基底节区脑出血患者行立体定向手术治疗,更有利于患者神经功能状态恢复,降低死亡率和住院时间,值得推广。Objective To explore the therapeutic effect of stereotactic technique on small amount of cerebral hemorrhage in basal gangliato providebasis for clinical practice.Methods 58 patients with cerebral hemorrhage in basal ganglia admitted to and treated in our hospital from January 2017 to January 2019 were selected as the subjects of research and randomly divided into the conservative treatment group and the stereotactic group,with 29 patients in each group.The clinical neurological functional deficiency scores(CNFDS),mortality rate and hospitalization time of the two groups after the onset of the disease,14d and 28d of treatment were observed.Results There was no statistically significant difference in CNFDS between the two groups after the onset of the disease(P>0.05).The difference in CNFDS between the two groups after 14d and 28d of treatment was statistically significant(P<0.05),and the scores of the stereotactic group decreased significantly.The differences in mortality rate and hospitalization time between the two groups were significant(P<0.05).Conclusion Stereotactic surgery for the patients with small amount of cerebral hemorrhage in basal ganglia is more conducive to the recovery of the patients’neurological functional status and reducing mortality rate and hospitalization time,which is worthy of promotion.

关 键 词：立体定向 基底节区脑出血 神经功能 临床神经功能缺损评分 

分 类 号：R651.1[医药卫生—外科学]