侧脑室引流术与小脑血肿微创穿刺术治疗小脑出血的临床效果  

Clinical Effect of Lateral Ventricle Drainage and Minimally Invasive Puncture of Cerebellar Hematoma in the Treatment of Cerebellar Hemorrhage

作　　者：饶辉[1] RAO Hui(Xiaogan Hospital Affiliated to Wuhan University of Science and Technology(Xiaogan Central Hospital),Xiaogan 432000,China)

机构地区：[1]武汉科技大学附属孝感医院(湖北省孝感市中心医院),湖北孝感432000

出　　处：《中国医学创新》2021年第21期81-84,共4页Medical Innovation of China

摘　　要：目的:分析侧脑室引流术与小脑血肿微创穿刺术治疗小脑出血的临床效果。方法:选取2018年6月-2020年6月本院收治的64例小脑出血患者,根据随机数字表法将其分为对照组和观察组,每组32例。观察组采用小脑血肿微创穿刺术,对照组采用侧脑室引流术。比较两组术后并发症发生情况,治疗前后GCS、SSS评分及治疗前和治疗后1、3、7 d的hs-CRP和NSE水平。结果:治疗前,两组GCS、SSS评分比较,差异均无统计学意义(P>0.05);治疗后,观察组GCS、SSS评分均高于对照组,差异均有统计学意义(P<0.05)。治疗前和治疗后1 d,两组血清hs-CRP比较,差异均无统计学意义(P>0.05);治疗后3、7 d,两组血清hs-CRP均低于治疗前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。治疗前及治疗后1、3 d,两组血清NSE比较,差异均无统计学意义(P>0.05);治疗后7 d,两组血清NSE均低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:小脑血肿微创穿刺术治疗小脑出血效果优于侧脑室引流术,值得推广应用。Objective:To analyze the clinical effect of lateral ventricle drainage and minimally invasive puncture of cerebellar hematoma in the treatment of cerebellar hemorrhage.Method:A total of 64 patients with cerebellar hemorrhage in our hospital from June 2018 to June 2020 were selected and randomly divided into the control group and the observation group according to random number table,32 cases in each group.The observation group was treated with minimally invasive puncture of cerebellar hematoma,while the control group was treated with lateral ventricle drainage.The incidence of postoperative complications were compared between two groups,GCS,SSS scores before and after treatment,hs-CRP and NSE before and 1,3 and 7 d after treatment were compared between two groups.Result:Before treatment,there were no significant differences in GCS and SSS scores between two groups (P>0.05);after treatment,the GCS and SSS scores of the observation group were higher than those of the control group,the differences were statistically significant (P<0.05).Before and 1 d after treatment,there were no significant differences in serum hs-CRP between two groups (P>0.05);3 and 7 d after treatment,serum hs-CRP of two groups were lower than those of before treatment,and the observation group were lower than those of the control group,the differences were statistically significant (P<0.05).There were no significant differences in serum NSE between two groups before treatment and 1 and 3 d after treatment (P>0.05);7 d after treatment,serum NSE of two groups were lower than those of before treatment,and the observation group was lower than that of the control group,the differences were statistically significant (P<0.05).The incidence of complications of the observation group was lower than that of the control group,the differences was statistically significant (P<0.05).Conclusion:Minimally invasive puncture of cerebellar hematoma is superior than lateral ventricle drainage in the treatment of cerebellar hemorrhage,which is worthy of popularizat

关 键 词：侧脑室引流术 小脑血肿微创穿刺术 小脑出血 

分 类 号：R651.1[医药卫生—外科学]