微创穿刺清除术治疗脑内血肿的应用及预后分析  

Application and prognosis analysis of minimally invasive puncture and clearance in the treatment of intracerebral hematoma

作　　者：朱先飞 Zhu Xianfei(The Second People's Hospital of Changde City,Hunan Province,Hunan Changde 415000)

机构地区：[1]湖南省常德市第二人民医院,湖南常德415000

出　　处：《中国社区医师》2021年第15期87-88,共2页Chinese Community Doctors

摘　　要：目的:分析应用微创穿刺清除术治疗脑内血肿的临床效果。方法:2019年1月-2020年7月收治脑内血肿患者68例,随机分为两组,各34例。研究组采用微创穿刺清除术治疗;对照组采用传统开颅清除术治疗。比较两组治疗效果。结果:研究组手术时间、ICU住院时间及术中出血量均低于对照组,血肿清除率高于对照组,差异均有统计学意义(P<0.05);研究组治疗后神经功能缺损(NIHSS)评分低于对照组,生活能力(Barthel)评分高于对照组,差异均有统计学意义(P<0.05)。结论:脑内血肿患者应用微创穿刺清除术效果较显著,可以改善患者神经功能,提高患者生活能力。Objective:To analyze the clinical effect of minimally invasive puncture and clearance in the treatment of intracerebral hematoma.Methods:From January 2019 to July 2020,68 patients with intracerebral hematoma were selected and randomly divided into two groups with 34 cases in each group.The study group was treated with minimally invasive puncture and clearance.The control group was treated with traditional craniotomy.We compared the treatment effect of the two groups.Results:In the study group,the operation time,ICU stay and intraoperative blood loss were lower than those in the control group,the difference was statistically significant(P<0.05).In the study group,after treatment,the NIHSS score was lower than that in the control group,and the Barthel score was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The clinical effect of minimally invasive puncture and clearance in the treatment of intracerebral hematoma is significant,it can improve the neurological function and life ability of patients.

关 键 词：脑内血肿 微创穿刺清除术 神经功能 手术指标 生活能力 

分 类 号：R651.1[医药卫生—外科学]