超早期微创穿刺术在高血压脑出血患者中的效果及对远期功能恢复效果的影响  

Efficacy of ultra-early minimally invasive puncture in patients with hypertensive intracerebral hemorrhage and its impact on long-term effect of functional recovery

作　　者：曹达彬 吴乔士 柯于勇 刘军 CAO Dabin;WU Qiaoshi;KE Yuyong;LIU Jun(Department of Neurosurgery,Yangxin People's Hospital of Hubei Province,Hubei,Yangxin 435200,China)

机构地区：[1]湖北省阳新县人民医院神经外科,湖北阳新435200

出　　处：《中国医药科学》2020年第20期192-194,共3页China Medicine And Pharmacy

摘　　要：目的探讨超早期微创穿刺术在高血压脑出血患者中的效果及对远期功能恢复效果的影响。方法选取2018年8月~2020年1月我院收治高血压脑出血患者共88例,将其随机分为两组。对照组采用常规手术治疗,研究组患者采用超早期微创穿刺术治疗。比较两组患者经过治疗后并发症发生情况、治疗效果、治疗后手术结果。结果研究组患者治疗后颅内感染、张力性气颅等并发症发生情况显著低于对照组患者(P<0.05)。研究组患者治疗后总有效率为90.9%,高于对照组的77.3%(P<0.05)。研究组手术时间、下床活动时间、住院时间短于对照组(P<0.05),研究组手术出血量少于对照组(P<0.05)。结论在高血压脑出血患者中采用超早期微创穿刺术可有效减少术后并发症的发生,对治疗效果以及患者术后的恢复具有更加积极地作用。Objective To investigate the efficacy of ultra-early minimally invasive puncture in patients with hypertensive intracerebral hemorrhage and its impact on long-term functional recovery.Methods From August 2018 to January 2020,a total of 88 patients with hypertensive intracerebral hemorrhage admitted to our hospital were selected and randomly divided into the control group and the study group.The control group was treated with conventional surgery,while the study group was treated with ultra-early minimally invasive puncture.The complications,therapeutic efficacies and surgical results between the two groups after treatment were compared.Results After treatment,complications such as intracranial infection and tension pneumocephalus in the study group were significantly lower than those in the control group(P<0.05).The total effective rate of the study group was 90.9%,higher than 77.3%of the control group(P<0.05).The operation time,ambulation time and hospitalization time in the study group were shorter than those in the control group(P<0.05),and the amount of bleeding in the study group was less than that in the control group(P<0.05).Conclusion Ultra-early minimally invasive puncture in patients with hypertensive intracerebral hemorrhage effectively reduces the occurrence of postoperative complications and has more positive effects on the therapeutic efficacy and postoperative recovery of patients.

关 键 词：超早期微创穿刺术 高血压 脑出血 远期恢复 

分 类 号：R743.34[医药卫生—神经病学与精神病学]