微创穿刺引流术对基底节区高血压性脑出血患者神经功能和血肿清除情况的影响  

Effect of Minimally Invasive Puncture and Drainage on Nerve Function and Hematoma Clearance Status in Patients with Hypertensive Cerebral Hemorrhage in Basal Ganglia

作　　者：张志峰 ZHANG Zhifeng(Department of Neurosurgery,Qixia People's Hospital of Yantai City,Shandong Province,Yantai 265300,China)

机构地区：[1]山东省烟台市栖霞市人民医院神经外科,山东烟台265300

出　　处：《反射疗法与康复医学》2024年第23期142-144,148,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨微创穿刺引流术对基底节区高血压性脑出血患者的影响。方法选取2023年1—12月山东省烟台市栖霞市人民医院收治的60例基底节区高血压性脑出血患者为研究对象,按照随机数字表法将其分为对照组和观察组,各30例。对照组采用开颅血肿清除术治疗,观察组采用微创穿刺引流术治疗。比较两组的手术相关情况、神经功能、血肿清除情况、疾病转归情况及术后并发症发生情况。结果观察组手术时长、住院时间均短于对照组,术中失血量少于对照组,组间差异有统计学意义(P<0.05)。术后3个月,观察组美国国立卫生研究院卒中量表、改良Rankin量表评分均低于对照组,组间差异有统计学意义(P<0.05);术后7 d,观察组血肿清除率、拉斯哥预后量表评分均高于对照组,组间差异有统计学意义(P<0.05)。观察组术后并发症发生率为6.67%,低于对照组26.67%,差异有统计学意义(P<0.05)。结论应用微创穿刺引流术治疗基底节区高血压性脑出血患者效果更佳,可改善患者神经缺损程度,提升血肿清除率,减少术后并发症的发生,从而加快患者康复。Objective To investigate the effect of minimally invasive puncture and drainage on hypertensive cerebral hemorrhage in basal ganglia.Methods Sixty patients with hypertensive cerebral hemorrhage in basal ganglia area treated in Qixia People's Hospital of Yantai City,Shandong Province from January to December 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 30 cases in each group.The control group was treated with craniotomy hematoma removal,and the observation group was treated with minimally invasive puncture and drainage.The operation related situation,nerve function,hematoma clearance status,disease outcome and postoperative complications were compared between the two groups.Results The operation duration and hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,the differences between the groups were statistically significance(P<0.05).Three months after operation,the scores of the National Institutes of Health Stroke Scale and the modified Rankin Scale in the observation group were lower than those in the control group,the differences between the groups were statistically significance(P<0.05);7 days after operation,the hematoma clearance rate and the score of Lasco prognostic scale in the observation group were higher than those in the control group,the differences between the groups were statistically significance(P<0.05).The incidence of postoperative complications in the observation group was 6.67%,which was lower than 26.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of minimally invasive puncture drainage in the treatment of patients with hypertensive cerebral hemorrhage in basal ganglia is more effective,which can improve the degree of nerve defect,increase the clearance rate of hematoma,reduce the occurrence of postoperative complications,an

关 键 词：基底节区高血压性脑出血 开颅血肿清除术 微创穿刺引流术 血肿清除率 神经功能 

分 类 号：R743.34[医药卫生—神经病学与精神病学]