方体定向穿刺置管抽吸引流术治疗原发性脑干出血的效果分析  

Effect Analysis of Square Body Directed Puncture Catheter Suction Flow in the Treatment of Primary Brain Stem Hemorrhage

作　　者：彭涛 陈东亮 谢庆海 张伟光 林正锋 覃后述 邓宇翔 黄茂弼 Peng Tao;Chen Dongliang;Xie Qinghai;Zhang Weiguang;Lin Zhengfeng;Qin Houshu;Deng Yuxiang;Huang Maobi(Qinzhou First People's Hospital(10th Affiliated Hospital of Guangxi Medical University),Qinzhou 535000,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]钦州市第一人民医院(广西医科大学第十附属医院),广西壮族自治区钦州535000

出　　处：《中外医药研究》2024年第15期12-14,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：广西壮族自治区卫生健康委员会科研课题攻关项目(编号:Z20210495)。

摘　　要：目的:探究方体定向穿刺置管抽吸引流术治疗原发性脑干出血的效果。方法:选取2021年3—12月钦州市第一人民医院神经外科收治的原发性脑干出血患者60例为研究对象,随机分为观察组和对照组,各30例。观察组接受方体定向穿刺置管抽吸引流术治疗,对照组接受开颅血肿清除引流术治疗。比较两组死亡率、预后情况和神经功能恢复情况。结果:观察组死亡率低于对照组,差异有统计学意义(P=0.0283);治疗1、3、6、12个月后,观察组格拉斯哥预后量表评分高于对照组,差异有统计学意义(P<0.0001);治疗1、3、6、12个月后,观察组改良Rankin量表评分低于对照组,差异有统计学意义(P<0.05)。结论:方体定向穿刺置管抽吸引流术可有效治疗原发性脑干出血,可促进神经功能恢复,改善预后。Objective:To explore the effect of square body directed puncture catheter suction flow in the treatment of primary brain stem hemorrhage.Methods:Sixty patients with primary brain stem hemorrhage admitted to the Neurosurgery Department of Qinzhou First People's Hospital from March to December 2021 were selected as the study objects,and were randomly divided into observation group and control group,with thirty patients in each group.The observation group received directional puncture catheter suction flow treatment,and the control group received craniotomy hematoma removal and drainage treatment.The mortality,prognosis and neurological function recovery were compared between the two groups.Results:The mortality of observation group was lower than that of control group,and the difference was statistically significant(P=0.0283);after 1,3,6 and 12 months of treatment,the score of Glasgow Prognostic Scale in the observation group was higher than that in the control group,the difference was statistically significant(P<0.0001);after 1,3,6 and 12 months of treatment,the Modified Rankin Scale score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Square body directed puncture catheter suction flow can effectively treat primary brain stem hemorrhage,promote the recovery of nerve function and improve prognosis.

关 键 词：原发性脑干出血 方体定向穿刺置管抽吸引流术 死亡率 格拉斯哥预后量表 改良Rankin量表 

分 类 号：R743.34[医药卫生—神经病学与精神病学]