慢性硬脑膜下血肿患者应用单孔钻孔引流术治疗的效果观察  

Effectiveness of Treatment of Patients with Chronic Subdural Hematoma Treated with Modified Single-hole Borehole Drainage

作　　者：于向阳 张晓玲[2] YU Xiangyang;ZHANG Xiaoling(Department of Neurosurgery,Gansu Provincial Hospital,Lanzhou 730000,China;Department of Pathology,Gansu Provincial Hospital,Lanzhou 730000,China)

机构地区：[1]甘肃省人民医院神经外科,甘肃兰州730000 [2]甘肃省人民医院病理科,甘肃兰州730000

出　　处：《中国医药指南》2023年第16期13-16,21,共5页Guide of China Medicine

摘　　要：目的探究慢性硬脑膜下血肿患者实施单孔钻孔引流术治疗的临床成效。方法选取我院2019年3月至2020年3月接受外科手术治疗的80例慢性硬脑膜下血肿患者为研究对象,对所有患者进行随机数字表法分组处理,可分为对照组与观察组,对照组接受常规硬脑膜下引流术进行治疗,观察组接受单孔钻孔引流术进行治疗,观察两组临床治疗效果及康复情况。结果观察组手术时间、术中出血量与对照组相比无明显统计学差异(P>0.05),而观察组的血氧饱和度高于对照组(P<0.05);随着时间的推移,两组术后引流量有明显的变化,且观察组不同时间段的引流量明显少于对照组(P<0.05);观察组术后切口疼痛程度低于对照组,且残留积液量也低于对照组(P<0.05),而术后3个月内两组患者出现颅内感染的概率差异无显著性(P>0.05);两组神经缺损程度均有改善,且观察组改善幅度优于对照组(P<0.05);术后3个月两组生活质量均有明显改善,且观察组生活质量的改善幅度高于对照组(P<0.05)。结论慢性硬脑膜下血肿患者实施单孔钻孔引流术治疗,可有效改善患者的临床症状,降低血肿患者在术后出现并发症的概率,加速患者脑部神经功能的康复,提高患者的生活质量,具有积极的治疗效果。Objective To investigate the clinical effectiveness of single-hole borehole drainage for the treatment of patients with chronic subdural hematoma.Methods Eighty patients with chronic subdural hematoma who received surgical treatment in our hospital from March 2019 to March 2020 were selected as study subjects,and all patients were processed by random number table method grouping,which can be divided into control group and observation group,the control group received subdural drainage for treatment,and the observation group received single-hole borehole drainage for treatment,and the clinical treatment effectiveness and recovery of the two groups were observed.Results There were no statistically significant differences in the operation time and intraoperative bleeding in the observation group compared with the control group(P>0.05),while the oxygen saturation in the observation group was higher than that in the control group(P<0.05);with the passage of time,there were significant changes in the postoperative drainage in the two groups,and the drainage in the observation group at different time periods was significantly less than that in the control group(P<0.05);the degree of postoperative incisional pain in the observation group was lower than that in the control group,and the there was no significant difference in the probability of intracranial infection between the two groups within 3 months after surgery(P>0.05);the degree of neurological deficit improved in both groups,and the improvement in the observation group was better than that in the control group(P<0.05);the quality of life improved significantly in both groups 3 months after surgery,and the improvement in the quality of life in the observation group was higher than that in the control group(P<0.05).Conclusion The treatment of chronic subdural hematoma patients with single-hole borehole drainage can effectively improve the clinical symptoms of patients,reduce the probability of postoperative complications in patients with hematoma,accelerate the reco

关 键 词：慢性硬脑膜下血肿 单孔钻孔引流术 临床治疗 应用效果 

分 类 号：R651.1[医药卫生—外科学]