经脑沟裂手术与传统经皮层造瘘手术治疗优势半球高血压基底节区脑出血患者术后语言功能的恢复情况分析  

Analysis of postoperative recovery of speech function in patients with hypertensive intracerebral hemorrhage of the basal ganglia in dominant hemisphere treated by transcerebral sulcus surgery and traditional transcortical fistula surgery

作　　者：魏庆生 WEI Qing-sheng(Liaoyang Second People’s Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市第二人民医院,111000

出　　处：《中国实用医药》2021年第29期24-26,共3页China Practical Medicine

摘　　要：目的探讨经脑沟裂手术与传统经皮层造瘘手术治疗优势半球高血压基底节区脑出血患者术后语言功能的恢复状况。方法50例优势半球高血压基底节区脑出血患者,随机分为对照组与观察组,每组25例。对照组实施传统经皮层造瘘手术治疗,观察组实施经脑沟裂手术治疗。对比两组术后1、3个月失语指数(AQ)及并发症发生情况、生活质量。结果术后1、3个月,观察组AQ分别为(42.75±6.96)、(62.34±9.26)分,均高于对照组的(30.95±6.19)、(47.10±8.83)分,差异具有统计学意义(P<0.05)。观察组并发症发生率8.00%低于对照组的32.00%,差异具有统计学意义(χ^(2)=4.500,P=0.034<0.05)。观察组生理功能、社会功能、情感职能、躯体疼痛和精神健康评分均高于对照组,差异具有统计学意义(P<0.05)。结论优势半球高血压基底节区脑出血临床治疗中,经脑沟裂手术治疗效果较传统经皮层造瘘手术优,不仅可以及早改善患者语言功能,而且能够降低并发症发生率,促进其生活质量的提高,值得临床应用与推广。Objective To discuss the postoperative recovery of speech function in patients with hypertensive intracerebral hemorrhage of the basal ganglia in dominant hemisphere treated by transcerebral sulcus surgery and traditional transcortical fistula surgery.Methods A total of 50 patients with hypertensive intracerebral hemorrhage of the basal ganglia in dominant hemisphere were randomly divided into control group and observation group,with 25 cases in each group.The control group was treated with traditional transcortical fistula surgery,and the observation group was treated with transcerebral sulcus surgery.Both groups were compared in terms of aphasia quotient(AQ)at 1 and 3 months after surgery,occurrence of complications and quality of life.Results At 1 and 3 months after surgery,AQ of the observation group were(42.75±6.96)and(62.34±9.26)points,which were higher than(30.95±6.19)and(47.10±8.83)points of the control group,and the difference was statistically significant(P<0.05).The complication rate 8.00%in the observation group was lower than 32.00%in the control group,and the difference was statistically significant(χ^(2)=4.500,P=0.034<0.05).The physical function,social function,emotional function,somatic pain and mental health scores were higher in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion In the clinical treatment of hypertensive intracerebral hemorrhage of the basal ganglia in dominant hemisphere,transcerebral sulcus surgery is more effective than traditional transcortical fistula surgery,which can not only improve the speech function of patients early,but also reduce the complication rates and promote the improvement of the quality of life,which is worthy of clinical application and promotion.

关 键 词：优势半球高血压基底节区脑出血 传统经皮层造瘘手术 经脑沟裂手术 语言功能 生活质量 

分 类 号：R651.1[医药卫生—外科学]