阿托伐他汀联合钻孔冲洗外引流术治疗慢性硬膜下血肿的疗效分析  

Curative effect of atorvastatin combined with external drainage by drilling flushing in the treatment of chronic subdural hematoma

作　　者：胡智洪[1] 罗川东 李伟 杨启荣[1] 朱加水 郑念东[2] Hu Zhihong;Luo Chuandong;Li Wei;Yang Qirong;Zhu Jiashui;Zheng Niandong(Department of Neurosurgery,the People's Hospital of Shizhong District,Leshan City,Sichuan Leshan 614000;Department of Neurosurgery,the People's Hospital of Leshan City,Sichuan Leshan 614000)

机构地区：[1]乐山市市中区人民医院神经外科,四川乐山614000 [2]乐山市人民医院神经外科,四川乐山614000

出　　处：《中国社区医师》2021年第27期21-22,共2页Chinese Community Doctors

摘　　要：目的:探讨阿托伐他汀联合钻孔冲洗外引流术治疗慢性硬膜下血肿(CSDH)的疗效。方法:2012年12月-2020年6月收治CSDH患者208例,按术后是否服用阿托伐他汀分为两组。观察组采用阿托伐他汀联合钻孔冲洗外引流术,对照组单纯采用钻孔冲洗外引流术,比较两组患者临床疗效及复发率。结果:两组治疗总有效率比较,差异无统计学意义(P>0.05);观察组术后复发率明显低于对照组,差异有统计学意义(P<0.05)。结论:阿托伐他汀联合钻孔冲洗外引流术在不降低治疗有效率的同时,可以降低CSDH患者术后复发率。Objective:To explore the curative effect of atorvastatin combined with external drainage by drilling flushing in the treatment of chronic subdural hematoma(CSDH).Methods:From December 2012 to June 2020,208 patients with CSDH were selected and divided into two groups according to whether to take atorvastatin after operation.The observation group was treated with atorvastatin combined with external drainage by drilling flushing.The control group was treated with external drainage by drilling flushing.We compared the clinical efficacy and recurrence rate of the two groups.Results:There was no significant difference in the total effective rate between the two groups(P>0.05).The postoperative recurrence rate of the observation group was significantly lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Atorvastatin combined with external drainage by drilling flushing can reduce the recurrence rate of CSDH patients without reducing the treatment efficiency.

关 键 词：阿托伐他汀 钻孔冲洗外引流术 CSDH 疗效 

分 类 号：R651.15[医药卫生—外科学]