微创引流术治疗在脑外伤硬脑膜外血肿患者中的应用  

Minimally Invasive Drainage Treatment in Patients with Traumatic Brain Injury with Epidural Hematoma

作　　者：赵晖[1] ZHAO Hui(Department of Neurosurgery,Zibo Central Hospital,Zibo,Shandong Province,255020 China)

机构地区：[1]淄博市中心医院神经外科,山东淄博255020

出　　处：《系统医学》2023年第12期150-152,169,共4页Systems Medicine

摘　　要：目的分析微创引流术在脑外伤硬脑膜外血肿患者中的应用价值。方法选择2020年1月—2022年12月淄博市中心医院神经外科收治的96例患者为研究对象,随机分为两组,每组48例。观察组采用微创引流术治疗,对照组采用传统手术治疗。对比两组患者生活质量、术后相关指标、神经功能缺损指标、并发症发生率。结果观察组躯体功能等指标评分均高于对照组,差异有统计学意义(P<0.05)。观察组手术相关指标均优于对照组,差异有统计学意义(P<0.05)。观察组术后1 d神经功能缺损评分低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为2.08%,低于对照组的18.75%,差异有统计学意义(χ^(2)=7.144,P<0.05)。结论采用微创引流术治疗脑外伤硬脑膜外血肿患者方式,有利于提升患者生活质量,降低并发症发生率。Objective To analyze the application value of minimally invasive drainage in patients with traumatic brain injury with epidural hematoma.Methods A total of 96 patients admitted to the neurosurgery Department of Zibo Cen⁃tral Hospital from January 2020 to December 2022 were selected as the study objects and randomly divided into two groups with 48 patients in each group.The observation group was treated with minimally invasive drainage,while the control group was treated with traditional surgery.The quality of life,postoperative indexes,neurological impairment indexes and complication rate were compared between the two groups.Results The scores of physical function in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The surgical related indexes of the observation group were better than those of the control group,and the difference was statistically significant(P<0.05).The neurological impairment scores in the observation group were lower than those in the control group 1 d after operation,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group(2.08%)was lower than that in the control group(18.75%),the difference was statistically significant(χ^(2)=7.144,P<0.05).Conclusion Minimally invasive drainage in the treatment of patients with traumatic epidural hematoma is beneficial to improve the quality of life of patients and reduce the incidence of complications.

关 键 词：微创引流术 脑外伤硬脑膜外血肿 生活质量 治疗效果 

分 类 号：R4[医药卫生—临床医学]