微创外引流手术治疗基底节区脑出血的疗效及患者不良反应观察  

Curative Effect and Adverse Reactions of Minimally Invasive External Drainage in the Treatment of Basal Ganglia Intracerebral Hemorrhage

作　　者：宋云朋 SONG Yunpeng(Department of Neurosurgery,Kuandian Manchu Autonomous County Central Hospital,Dandong 118200,China)

机构地区：[1]宽甸满族自治县中心医院神经外科,辽宁丹东118200

出　　处：《中国医药指南》2023年第36期100-102,共3页Guide of China Medicine

摘　　要：目的分析和探讨微创外引流手术治疗基底节区脑出血的疗效及患者不良反应观察。方法本次研究当中,首位患者的入院时间定义在2018年9月,最后一位患者的入院时间定义在2020年9月,入组患者为66例基底节区脑出血患者,动态随机分组。对照组33例采用药物治疗,观察组33例采用微创外引流手术治疗。对比两组患者的神经功能缺损情况、神经功能恢复情况、不良反应发生率及生活质量。结果治疗前,观察组患者的NIHSS评分为(20.15±3.72)分,对照组患者的NIHSS评分为(20.13±3.74)分,P>0.05;治疗后NIHSS评分对比,观察组数值低于对照组,[(10.21±3.01)分]vs.[(15.65±3.42)分],P<0.05。治疗前,观察组患者的m RS评分和对照组对比差异无统计学意义,(4.53±0.28)vs.(4.56±0.27)分,P>0.05;治疗后,m RS分值对比,观察组比对照组低,[(1.16±0.07)分]vs.[(2.25±0.18)分],P<0.05。不良反应发生率组间对比,观察组更低(P<0.05)。观察组患者的SF-36评分高于对照组(P<0.05)。结论微创外引流手术治疗基底节区脑出血的疗效显著,能够显著的改善患者的神经功能,降低临床不良反应的发生概率,从而提升临床的安全性,并且有效地改善患者的生活品质。Objective To analyze and explore the effect of minimally invasive drainage surgery and adverse effects of patients.Methods In this study,the admission time of the first patient was defined in September 2018,and the admission time of the last patient was defined in September 2020.The enrolled patients were 66 patients with cerebral hemorrhage in the basal ganglia,which were dynamically randomized.In the control group,33 patients were treated with drugs,and 33 patients in the observation group were treated with minimally invasive external drainage surgery.The neurological deficit,neurological recovery,incidence of adverse reactions and quality of life were patients in the two groups were patients.Results Before treatment,the NIHSS score of the observation group was(20.15±3.72),and the control group was(20.13±3.74),P>0.05;The value of the observation group was lower than the control group,[(10.21±3.01)]vs.[(15.65±3.42)],P<0.05.Before treatment,there was no significant difference between the mRS score and the control group,(4.53±0.28)vs.(4.56±0.27),P>0.05;after treatment,the observation group was lower:[(1.16±0.07)]vs.[(2.25±0.18)],P<0.05.The incidence of adverse reactions was compared between groups and lower in the observation group(P<0.05).Patients under observation had higher SF-36 scores than those in the control group(P<0.05).Conclusions Minimally invasive external drainage surgery in the treatment of cerebral hemorrhage in the basal ganglia has a remarkable effect,which can significantly improve the neurological function of patients,reduce the probability of clinical adverse reactions,thus improve the clinical safety,and effectively improve the quality of life of patients.

关 键 词：微创外引流手术 基底节区脑出血 疗效 不良反应 观察 

分 类 号：R743.34[医药卫生—神经病学与精神病学]