YL-1型针穿刺引流术联合阿托伐他汀治疗老年慢性硬膜下血肿的临床研究  

Clinical Study of YL-1 Needle Puncture and Drainage Combined with Atorvastatin in the Treatment of Chronic Subdural Hematoma in Elderly People

作　　者：徐敏[1] 凌晓阳 何紫阳 王文华[1] XU Min;LING Xiaoyang;HE Ziyang;WANG Wenhua(Department of Neurosurgery,Kunshan Hospital of Traditional Chinese Medicine,Kunshan 215300,Jiangsu,China)

机构地区：[1]昆山市中医医院神经外科,江苏昆山215300

出　　处：《中外医疗》2024年第17期50-53,共4页China & Foreign Medical Treatment

摘　　要：目的 探讨YL-1型针穿刺引流术联合阿托伐他汀用于治疗老年慢性硬膜下血肿疾病的疗效。方法 便利选取2022年1月—2023年6月昆山市中医医院接受治疗的83例慢性硬膜下血肿老年患者为研究对象,根据治疗方式的不同分为两组,对照组(n=41)以YL-1型针穿刺引流术治疗,观察组(n=42)在其基础上联用阿托伐他汀。比较两组治疗前后炎症因子水平、凝血功能指标,治疗有效率、并发症发生率及复发率。结果 观察组治疗总有效率为97.62%,高于对照组的80.49%,差异有统计学意义(χ^(2)=4.651,P<0.05)。治疗后两组的炎症水平、凝血功能指标均降低,且观察组低于对照组,差异有统计学意义(P均<0.05)。两组并发症发生情况比较,差异无统计学意义(P>0.05);观察组复发率低于对照组,差异有统计学意义(P<0.05)。结论 采取YL-1型针穿刺引流术联合阿托伐他汀方案,效果更佳,可有效改善患者炎症水平及凝血功能。Objective To explore the efficacy of YL-1 needle puncture and drainage combined with atorvastatin for the treatment of chronic subdural hematoma disease in the elderly.Methods Eighty-three elderly patients with chronic subdural hematoma treated in Kunshan Hospital of Traditional Chinese Medicine from January 2022 to June 2023 were conveniently selected for the study,and were divided into two groups according to the different treatment modalities.The control group(n=41) was treated with YL-1 needle puncture and drainage,and the observation group(n=42) was combined with atorvastatin on its basis.Comparison of the two groups before and after treatment inflammatory factor levels,coagulation function indicators,treatment efficiency,complication rate and recurrence rate.Results The total treatment efficiency of the observation group was 97.62%,which was higher than 80.49% of the control group,and the difference was statistically significant(χ^(2)=4.651,P<0.05).The inflammation level and coagulation function indexes of the two groups were reduced after treatment,and the observation group was lower than the control group,and the differences were statistically significant(both P<0.05).Comparison of the occurrence of complications in the two groups,the difference was not statistically significant(P>0.05),and the recurrence rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Adopting YL-1 needle puncture and drainage combined with atorvastatin regimen is more effective,which can effectively improve patients' inflammation level and coagulation function.

关 键 词：YL-1型针穿刺引流术 阿托伐他汀 老年 慢性硬膜下血肿 

分 类 号：R651[医药卫生—外科学]