微创穿刺血肿引流术联合尿激酶治疗基底节区脑出血的效果  

Effect of minimally invasive puncture hematoma drainage combined with urokinase in the treatment of cerebral hemorrhage in basal ganglia

作　　者：王娜[1] WANG Na(Neurology Department,the First People's Hospital of Shangqiu,Shangqiu 476000,China)

机构地区：[1]商丘市第一人民医院神经内科,河南商丘476000

出　　处：《临床医学研究与实践》2020年第29期67-68,共2页Clinical Research and Practice

摘　　要：目的探讨微创穿刺血肿引流术联合尿激酶治疗基底节区脑出血的效果。方法选取我院收治的98例基底节区脑出血患者,49例予以微创穿刺血肿引流术(对照组),49例予以微创穿刺血肿引流术联合尿激酶治疗(治疗组)。比较两组的治疗效果。结果治疗后3、7 d,治疗组的血肿清除率均高于对照组(P<0.05)。治疗后2周,两组血清CRP水平及NIHSS评分均降低,且治疗组低于对照组(P<0.05)。治疗后1个月,两组ADL评分均升高,且治疗组高于对照组(P<0.05)。结论微创穿刺血肿引流术联合尿激酶治疗基底节区脑出血可提高血肿清除率,促进患者神经功能恢复。Objective To explore the effect of minimally invasive puncture hematoma drainage combined with urokinase in the treatment of cerebral hemorrhage in basal ganglia.Methods A total of 98 patients with cerebral hemorrhage in basal basal ganglia admitted in our hospital,49 cases were treated with minimally invasive puncture hematoma drainage(control group),and 49 cases were treated with minimally invasive puncture hematoma drainage combined with urokinase(treatment group).The therapeutic effects of the two groups were compared.Results At 3 and 7 days after treatment,the hematoma clearance rate of the treatment group were higher than those of the control group(P<0.05).Two weeks after treatment,the serum CRP levels and NIHSS scores of the two groups decreased,and those in the treatment group were lower than the control group(P<0.05).One months after treatment,the ADL score of both groups increased,and that in the treatment group was higher than the control group(P<0.05).Conclusion Minimally invasive puncture hematoma drainage combined with urokinase in the treatment of cerebral hemorrhage in basal ganglia can increase the clearance rate of hematoma,and promote the recovery of patients'nerve function.

关 键 词：基底节脑出血 微创穿刺血肿引流术 尿激酶 

分 类 号：R651.12[医药卫生—外科学]