CT定位下微创穿刺治疗高血压基底节区脑出血患者的效果  

Effect of CT-guided Minimally Invasive Puncture on Hypertensive Basal Ganglia Cerebral Hemorrhage

作　　者：吴保东 WU Baodong(Donggang Hospital of Traditional Chinese Medicine,Donggang 118300,China)

机构地区：[1]辽宁省东港市中医院,辽宁东港118300

出　　处：《中国医药指南》2021年第12期36-37,共2页Guide of China Medicine

摘　　要：目的探究CT定位下微创穿刺治疗高血压基底节区脑出血患者的效果。方法随机选取2018年4月至2019年4月于我院就诊的134例高血压基底节区脑出血患者,按照随机数字表法将患者分为对照组(行常规开颅血肿清除术治疗)与试验组(行CT定位下微创穿刺治疗),各67例,比较两组的治疗效果。结果治疗后,试验组患者术后1个月内的病死率为4.48%(3/67),远低于对照组的14.93%(10/67),差异有统计学意义(P<0.05);试验组术后格拉斯哥昏迷量表(GCS)评分和改善程度显著优于对照组(P<0.05);试验组患者护理满意度高于对照组,并发症发生率低于对照组(P<0.05)。结论采用CT定位下微创穿刺方法治疗高血压基底节区脑出血患者的效果显著,有助于促进患者恢复,提升护理满意度。Objective To explore the clinical effect of CT-guided minimally invasive puncture in the treatment of hypertensive basal ganglia cerebral hemorrhage.Methods A total of 134 patients who came to our hospital from April 2018 to April 2019 were randomly selected.According to the random number table method,the patients were divided into control group with routine craniotomy hematoma clearance and experimental group with CT-guided minimally invasive puncture,67 cases in each group,to explore the therapeutic effect.Results After treatment,the mortality rate of the experimental group was 4.48%(3/67)in one month after operation,which was much lower than that of the control group 14.93%(10/67),the difference was statistically significant(P<0.05).The Glasgow Coma Scale(GCS)and improvement degree of the experimental group after operation were also significantly better than those of the control group(P<0.05).The satisfaction degree of the experimental group was higher than that of the control group,and the complication probability was lower than that of the control group(P<0.05).Conclusion The CT-guided minimally invasive puncture method is effective in treating patients with hypertensive basal ganglia cerebral hemorrhage,which helps to promote the recovery of patients and improve nursing satisfaction.

关 键 词：高血压 脑出血 基底节区 CT定位 微创穿刺 

分 类 号：R743.3[医药卫生—神经病学与精神病学]