保守治疗与微创穿刺术在脑出血合并轻度锥体束损伤患者中的对比分析  

Comparative Analysis of Conservative Treatment and Minimally Invasive Puncture in Patients with Cerebral Hemorrhage Complicated with Mild Pyramidal Tract Injury

作　　者：刘备 黄骥[2] 王娜 Liu Bei;Huang Ji;Wang Na(Department of Neurology,Tianmen First People’s Hospital,Tianmen,Hubei,431700,China)

机构地区：[1]天门市第一人民医院神经内科,湖北天门431700 [2]天门市第一人民医院NICU,湖北天门431700

出　　处：《黑龙江医学》2024年第11期1308-1310,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨保守治疗与微创穿刺手术在脑出血合并轻度锥体束损伤患者中的疗效及预后差异。方法:选取2019年12月—2021年12月天门市第一人民医院收治的80例脑出血合并轻度锥体束损伤患者作为研究对象,采用随机数表法分为对照组与观察组,每组各40例。对照组患者接受脑出血传统治疗,观察组患者接受微创穿刺手术治疗。对比两组患者疗效差异以及治疗前后患者认知功能[蒙特利尔认知量表(MoCA)]、神经功能[美国国立卫生院神经功能缺损评分(NIHSS)]变化,观察两组患者各项并发症发生情况。结果:观察组患者治疗有效率高于对照组,差异有统计学意义(χ^(2)=4.713,P<0.05);治疗后,两组患者MoCA评分均较治疗前明显升高,且观察组患者MoCA评分明显高于对照组,差异有统计学意义(t=3.137、2.882,P<0.05);观察组患者并发症发生率低于对照组,组间比较差异无统计学意义(χ^(2)=1.409,P>0.05)。结论:与保守治疗相比,微创穿刺手术在脑出血合并轻度锥体束损伤患者中疗效更高,能够有效促进患者认知功能及神经功能恢复。Objective:To explore the difference of curative effect and prognosis between conservative treatment and minimally invasive puncture in patients with cerebral hemorrhage complicated with mild pyramidal tract injury.Methods:80 patients with intracerebral hemorrhage combined with mild pyramidal tract injury admitted in the hospital from December 2019 to December 2021 were taken as the research object,and they were randomly divided into the control group and the observation group,with 40 patients in each group.Patients in the control group received traditional treatment of cerebral hemorrhage,while patients in the observation group received minimally invasive puncture surgery.Difference of curative effect between the two groups and the changes of cognitive function(MoCA)and neurological function(NIHSS)before and after treatment were compared,and the occurrence of various complications of the two groups were observed.Results:The treatment efficiency of observation group was higher than control group,with statistically significant difference(χ^(2)=4.713,P<0.05).After treatment,the MoCA scores of the two groups increased significantly,and the efficacy and MoCA scores of the observation group were significantly higher than those of the control group(t=3.137,2.882;P<0.05).There was no significant difference in the incidence of complications between the two groups(χ^(2)=1.409,P>0.05).Conclusion:Compared with conservative treatment,minimally invasive puncture surgery is more effective in patients with cerebral hemorrhage and mild pyramidal tract injury,and can effectively promote the recovery of cognitive function and neurological function of patients.

关 键 词：脑出血 锥体束损伤 微创穿刺手术 保守治疗 认知功能 神经功能 

分 类 号：R743.34[医药卫生—神经病学与精神病学]