立体定向术治疗少量高血压性基底节区脑出血的临床效果  

Clinical Effect of Stereotactic Surgery in the Treatment of Small Amount of Hypertensive Basal Ganglia Intracerebral Hemorrhage

作　　者：朱火灵 张巍 ZHU Huoling;ZHANG Wei(Jianli People's Hospital,Jianli 433315,China;不详)

机构地区：[1]监利市人民医院,湖北监利433315

出　　处：《中外医学研究》2023年第17期155-158,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨立体定向术治疗少量高血压性基底节区脑出血的临床效果。方法:收集2020年12月—2021年5月在监利市人民医院住院的100例少量高血压性基底节区脑出血患者为研究对象,按照随机数表法将其分为立体定向组及保守治疗组,各50例。立体定向组采用成立体定向术治疗,保守治疗组采用对症治疗。观察两组血肿排空时间及住院时间、并发症情况,并在患者出院6个月进行日常生活能力评定。结果:立体定向组血肿排空时间为(5.32±3.12)d,明显早于保守治疗组的(21.52±2.49)d,住院时间为(15.73±4.52)d,明显短于保守治疗组的(21.14±1.64)d,差异有统计学意义(P<0.05);立体定向组术后并发症发生率为28.0%,低于保守治疗组的64.0%,差异有统计学意义(P<0.05);立体定向组出院6个月的日常生活能力恢复优良率为82.0%,高于保守治疗组的62.0%,差异有统计学意义(P<0.05)。结论:立体定向术治疗少量高血压性基底节区脑出血中的临床效果好,具有创伤小、安全性高、并发症少、住院时间短等优点,还能够更好地改善患者预后。Objective:To investigate the clinical efficacy of stereotactic surgery in the treatment of small amount of hypertensive basal ganglia intracerebral hemorrhage.Method:A total of 100 patients with small amount of hypertensive basal ganglia intracerebral hemorrhage hospitalized in Jianli People's Hospital from December 2020 to May 2021 were collected as the research object.They were divided into stereotactic group and conservative treatment group according to random number table,with 50 patients in each group.The stereotactic group received stereotactic surgery treatment,and the conservative treatment group received symptomatic treatment.The evacuation time of hematoma,hospitalization time,and complications of two groups were observed,and the patients'ability of daily living was evaluated 6 months after discharge.Result:The evacuation time of hematoma in stereotactic group was(5.32±3.12)d,which was significantly earlier than that in conservative treatment group of(21.52±2.49)d,the hospitalization time of stereotactic group was(15.73±4.52)d,which was significantly shorter than that of conservative treatment group of(21.14±1.64)d,the differences were statistically significant(P<0.05).The postoperative complication rate of stereotactic group was 28.0%,which was lower than 64.0%of conservative group,the difference was statistically significant(P<0.05).At 6 months after discharge,the daily living ability recovery excellent and good rate of the stereotactic group was 82.0%,which was higher than 62.0%of the conservative treatment group,the difference was statistically significant(P<0.05).Conclusion:Stereotactic surgery treatment of small amount of hypertensive basal ganglia cerebral hemorrhage has good clinical effect,with less trauma,high safety,fewer complications,short hospital stay and other advantages,and can better improve the prognosis of patients.

关 键 词：立体定向术 高血压脑出血 基底节区脑出血 预后 

分 类 号：R743.34[医药卫生—神经病学与精神病学]