分析立体定向血肿穿刺外引流术在高血压脑出血疾病治疗中的临床疗效  

Analysis of the Clinical Effect of Stereotactic Hematoma Puncture and External Drainage in the Treatment of Hypertensive Cerebral Hemorrhage

作　　者：宋宏伟 王福超[1] 董宁[1] 邹晓燕[1] 王微 SONG Hong-wei;WANG Fu-chao;DONG Ning;ZOU Xiao-yan;WANG Wei(Daqing Oilfield General Hospital,Daqing,Heilongjiang 163001)

机构地区：[1]大庆油田总医院,黑龙江大庆163001

出　　处：《智慧健康》2020年第22期166-167,共2页Smart Healthcare

摘　　要：目的分析高血压脑出血疾病患者治疗中应用立体定向血肿穿刺外引流术的临床疗效。方法将78例高血压脑出血患者分为参照组与研究组,各39例,对比两组手术前后炎症因子水平与神经功能。结果研究组与参照组术前IL-6、TNF-α、hs-CRP水平、NIHSS评分差异无统计学意义(P>0.05),研究组术后72 h IL-6、TNF-α、hs-CRP水平较参照组更低,术后7 d NIHSS评分更低,差异有统计学意义(P<0.05)。结论高血压脑出血疾病患者行立体定向血肿穿刺外引流术治疗可控制炎症反应发展,促进神经功能加速恢复,值得推广。Objective To analyze the clinical effect of stereotactic hematoma puncture and external drainage in the treatment of hypertensive cerebral hemorrhage.Methods Seventy-eight patients with hypertensive intracerebral hemorrhage were divided into control group and study group,39 cases in each group.The levels of inflammatory factors and nerve function before and after operation were compared between the two groups.Results There was no significant difference in the levels of IL-6,TNF-α,hs-CRP and NIHSS between the study group and the reference group before operation(P>0.05).The levels of IL-6,TNF-α,hs-CRP in the study group were lower than those in the reference group at 72 h after operation,and the NIHSS scores were lower at 7 d after operation(P<0.05).Conclusion Stereotactic hematoma puncture and external drainage in patients with hypertensive intracerebral hemorrhage can control the development of inflammatory reaction and accelerate the recovery of nerve function,which is worthy of promotion.

关 键 词：穿刺外引流术 高血压脑出血 炎症因子 神经功能 

分 类 号：R651.1[医药卫生—外科学]