研究高压氧联合微创置管血肿穿刺术治疗高血压脑出血的效果  

Study on the effect of hyperbaric oxygen combined with minimally invasive hematoma puncture in the treatment of hypertensive intracerebral hemorrhage

作　　者：董春 孟伟 DONG Chun;MENG Wei(Panjin Central Hospital,Panjin 124010,China)

机构地区：[1]盘锦市中心医院,124010

出　　处：《中国实用医药》2021年第24期34-36,共3页China Practical Medicine

摘　　要：目的研究在高血压脑出血患者中应用高压氧联合微创置管血肿穿刺术治疗的效果。方法100例高血压脑出血患者,随机分为研究组和对照组,各50例。对照组患者行微创置管血肿穿刺术治疗,研究组患者在对照组患者的治疗方式基础上接受高压氧治疗。比较两组患者临床疗效以及治疗前和治疗14、28 d后的中国脑卒中临床神经功能缺损程度评分量表(CSS)、蒙特利尔认知评估量表(MoCA)评分。结果研究组治疗总有效率94.0%高于对照组的74.0%,差异具有统计学意义(P<0.05)。治疗14 d后,研究组CSS评分(10.24±2.77)分低于对照组的(12.20±3.14)分;治疗28 d后,研究组CSS评分(8.21±2.53)分低于对照组的(11.20±3.14)分,差异均具有统计学意义(P<0.05)。治疗14、28 d后研究组患者的MoCA评分(14.91±2.19)、(16.26±2.55)分均高于对照组的(12.34±2.87)、(14.92±2.95)分,差异均具有统计学意义(P<0.05)。结论应用高压氧联合微创置管血肿穿刺术治疗,能有效改善高血压脑出血患者的认知水平和神经功能障碍,可使患者获得良好的临床治疗效果和理想的预后效果。Objective To study the therapeutic effect of hyperbaric oxygen combined with minimally invasive hematoma puncture in the treatment of hypertensive intracerebral hemorrhage.Methods A total of 100 patients with hypertensive intracerebral hemorrhage were randomly divided into a research group and a control group,with 50 cases in each group.The control group was treated with minimally invasive hematoma puncture,and the research group was treated with hyperbaric oxygen on the basis of the control group.The clinical efficacy,Chinese stroke scale(CSS)and Montreal cognitive assessment(MoCA)before treatment and 14,28 d after treatment were compared between the two groups.Results The total effective rate of the research group was 94.0%,which was higher than 74.0%of the control group,and the difference was statistically significant(P<0.05).14 d after treatment,the CSS score of the research group was(10.24±2.77)points,which was lower than(12.20±3.14)points of the control group;28 d after treatment,the CSS score of the research group was(8.21±2.53)points,which was lower than(11.20±3.14)points of the control group;all the difference was statistically significant(P<0.05).14 and 28 d after treatment,the research group were(14.91±2.19)and(16.26±2.55)points,which were all higher than(12.34±2.87)and(14.92±2.95)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Combination of hyperbaric oxygen and minimally invasive hematoma puncture has good clinical effect and ideal prognostic effect on patients with hypertensive intracerebral hemorrhage,and it can effectively improve the cognitive level and neurological dysfunction of patients.

关 键 词：高压氧 微创置管血肿穿刺术 高血压脑出血 

分 类 号：R651.1[医药卫生—外科学]