ICP监测下微创血肿外引流治疗基底节区高血压脑出血的近远期疗效  

Short-term and Long-term Effects of External Drainage of Minimally Invasive Hematoma for Hypertensive Basal Ganglia Cerebral Hemorrhage under ICP Monitoring

作　　者：朱炎 孟捷 ZHU Yan;MENG Jie(Zhoukou Hospital of Traditional Chinese Medicine,Henan Zhoukou 466000)

机构地区：[1]周口市中医院,河南周口466000

出　　处：《深圳中西医结合杂志》2022年第2期10-13,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：河南省中医药科学研究专项课题基金项目(2015ZY02032)。

摘　　要：目的:观察颅内压(ICP)监测下微创血肿外引流治疗基底节区高血压脑出血的近远期疗效。方法:选取周口市中医院2015年6月至2020年6月收治的308例基底节区高血压脑出血患者为研究对象,按照随机数表法分为观察组(154例)和对照组(154例),对照组行大骨瓣开颅血肿清除术,观察组行ICP监测下微创血肿外引流术。比较两组手术相关指标和近远期疗效。结果:观察组手术时间、住院时间均短于对照组,术后再出血率低于对照组,差异具有统计学意义(P<0.05);术后1个月,观察组总有效率高于对照组,差异具有统计学意义(P<0.05);术后6个月,观察组预后良好率高于对照组,差异具有统计学意义(P<0.05)。结论:ICP监测下微创血肿外引流治疗基底节区高血压脑出血患者,可显著缩短手术耗时及住院时间,降低再出血率,且提高近远期治疗效果。Objective To observe the short-term and long-term effects of minimally invasive hematoma external drainage under intracranial pressure (ICP) monitoring in the treatment of hypertensive intracerebral hemorrhage in the basal ganglia.Methods 308 patients with hypertensive intracerebral hemorrhage in basal ganglia were treated in the Zhoukou Hospital of Traditional Chinese Medicine from June 2015 to June 2020 were selected as the research objects.They were randomly divided into observation group and control group,with 154 cases in each group according to the random table method.The control group underwent large bone flap craniotomy for hematoma removal,and the observation group underwent minimally invasive hematoma drainage under ICP monitoring.The operation related indexes and short-term and long-term effects were compared between the two groups.Results The operation time and hospital stay in the observation group were shorter than those in the control group,and the postoperative rebleeding rate was significantly lower than that in the control group,the differences were statistically significant (P < 0.05);1 month after operation,the total effective rate in the observation group was significantly higher than that in the control group,the difference was statistically significant (P < 0.05);6 months after operation,the rate of good prognosis in the observation group was significantly higher than that in the control group,the difference was statistically significant (P < 0.05).Conclusion Minimally invasive hematoma external drainage under ICP monitoring in the treatment of hypertensive intracerebral hemorrhage in basal ganglia can significantly shorten the operation time and hospital stay,reduce the rebleeding rate,and improve the short-term and long-term treatment effect.

关 键 词：高血压 脑出血 颅内压监测 微创血肿外引流术 

分 类 号：R743.2[医药卫生—神经病学与精神病学]