简易立体定位仪微创治疗高血压脑出血的手术时机研究  

Study on operative timing of minimally invasive stereotactic instrument for hypertensive intracerebral hemorrhage

作　　者：马学雷 毛英华 MA Xue-lei;MAO Ying-hua(Pingdu Third People’s Hospital,Pingdu 266753,China)

机构地区：[1]平度市第三人民医院,266753

出　　处：《中国实用医药》2020年第26期1-4,共4页China Practical Medicine

摘　　要：目的观察简易立体定位仪在不同手术时机微创治疗高血压脑出血的效果。方法选择94例高血压脑出血患者,根据手术时机不同分为超早期组(出血6 h内治疗,32例)、早期组(出血6~24 h内治疗,38例)、延后期组(出血24 h后治疗,24例)。三组患者均采用简易立体定位仪微创治疗。比较三组患者的生存率、恢复率、生存质量、并发症发生情况。结果超早期组、早期组、延后期组患者的生存率分别为93.75%、86.84%、66.67%,三组生存率呈下降趋势,比较差异有统计学意义(P<0.05)。超早期组、早期组、延后期组患者的恢复率分别为90.63%、78.95%、62.50%,三组恢复率呈下降趋势,比较差异有统计学意义(P<0.05)。超早期组、早期组、延后期组患者的躯体疼痛、精力、情感职能、精神健康、生理机能、一般健康状况、社会功能、生理职能评分均呈下降趋势,三组比较差异均有统计学意义(P<0.05)。超早期组、早期组、延后期组患者的并发症发生率分别为6.25%、13.16%、33.33%,三组并发症发生率呈上升趋势,比较差异有统计学意义(P<0.05)。结论在超早期给予高血压脑出血患者简易立体定位仪微创治疗,能够提高治疗效果,改善生存质量,降低并发症发生率,是挽救患者生命的关键。Objective To observe the effect of stereotactic instrument on minimally invasive treatment of hypertensive intracerebral hemorrhage at different operative timing.Methods A total of 94 cases of hypertensive intracerebral hemorrhage patients were divided into ultra-early group(32 cases,treated within 6 h after bleeding),early group(38 cases,treated within 6-24 h after bleeding),and delayed group(24 cases,treated 24 h after bleeding).All three groups was treated with minimally invasive stereotactic instrument.The survival rate,recovery rate,quality of life and occurrence of complications of the three groups was compared.Results The survival rate of ultra-early group,early group and delayed group was 93.75%,86.84%and 66.67%respectively,showing a downward trend,and the difference was statistically significant(P<0.05).The recovery rate of ultra-early group,early group and delayed group was 90.63%,78.95%and 62.50%respectively,showing a downward trend,and the difference was statistically significant(P<0.05).The scores of physical pain,energy,emotional function,mental health,physiological function,general health status,social function and physiological function of patients in ultra-early group,early group and delayed group showed a downward trend,and the differences were statistically significant(P<0.05).The incidence of complications of ultra-early group,early group and delayed group was 6.25%,13.16%and 33.33%respectively,showing an upward trend,and the difference was statistically significant(P<0.05).Conclusion It is the key to save the patient’s life to give minimally invasive stereotactic instrument to hypertensive intracerebral hemorrhage patients in the ultra-early stage,which can improve the therapeutic effect,improve the quality of life and reduce the probability of complications.

关 键 词：简易立体定位仪 微创 高血压脑出血 手术时机 治疗效果 生存质量 并发症 

分 类 号：R651.12[医药卫生—外科学]