[1]赵 雷,封浩野.血肿穿刺引流术与开颅手术治疗高血压脑出血疗效比较[J].医学信息,2021,34(12):136-138.[doi:10.3969/j.issn.1006-1959.2021.12.036]
　ZHAO Lei,FENG Hao-ye.Comparison of Curative Effect Between Hematoma Puncture Drainage and Craniotomy in the Treatment of Hypertensive Cerebral Hemorrhage[J].Medical Information,2021,34(12):136-138.[doi:10.3969/j.issn.1006-1959.2021.12.036]
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血肿穿刺引流术与开颅手术治疗高血压脑出血疗效比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年12期
页码:
136-138
栏目:
临床研究
出版日期:
2021-06-15

文章信息/Info

Title:
Comparison of Curative Effect Between Hematoma Puncture Drainage and Craniotomy in the Treatment of Hypertensive Cerebral Hemorrhage
文章编号:
1006-1959（2021）12-0136-03
作者:
赵 雷; 封浩野
（天津医科大学宝坻临床学院神经外科，天津 301800）
Author(s):
ZHAO Lei; FENG Hao-ye
(Department of Neurosurgery,Baodi Clinical College,Tianjin Medical University,Tianjin 301800,China)
关键词:
血肿穿刺引流; 高血压脑出血; 神经功能
Keywords:
Hematoma puncture drainage; Hypertensive cerebral hemorrhage; Nerve function
分类号:
R651.1
DOI:
10.3969/j.issn.1006-1959.2021.12.036
文献标志码:
A
摘要:
目的 比较血肿穿刺引流术与开颅手术治疗高血压脑出血临床效果。方法 选取2019年10月~2020年10月我院接诊的94例高血压脑出血患者为研究对象，采用随机数字表法分为观察组和对照组，各47例。对照组采用开颅手术治疗，观察组采用血肿穿刺引流术治疗，比较两组临床手术指标、首次血肿清除率、不同时间点颅内压水平、神经功能缺损评分、日常生活能力评分以及术后并发症发生率。结果 观察组手术时间、术中出血量、住院时间均优于对照组，差异有统计学意义（P＜0.05）；观察组首次血肿清除率为89.36%，与对照组的91.48%比较，差异无统计学意义（P＞0.05）；观察组术后1 min、24 h、3 d颅内压均低于对照组，差异有统计学意义（P＜0.05）；观察组术后神经功能缺损评分低于对照组，日常生活能力评分高于对照组，差异有统计学意义（P＜0.05）；观察组术后并发症发生率为8.51%，低于对照组的19.14%，差异有统计学意义（P＜0.05）。结论 血肿穿刺引流术与开颅手术治疗高血压脑出血均可获得良好效果，但血肿穿刺引流术手术时间短、术中出血量少，可促进患者神经功能恢复，提高日常生活能力，且并发症发生率低，安全性良好。
Abstract:
Objective To compare the clinical effects of hematoma puncture drainage and craniotomy in the treatment of hypertensive cerebral hemorrhage.Methods 94 patients with hypertensive cerebral hemorrhage admitted to our hospital from October 2019 to October 2020 were selected as the research objects, and they were divided into observation group and control group by random number table method, with 47 cases in each group.The control group was treated with craniotomy, and the observation group was treated with hematoma puncture and drainage. The two groups were compared with clinical operative indexes, first hematoma clearance rate, intracranial pressure level at different time points, neurological deficit score, ability of daily living score, and postoperative complications Incidence rate.Results The operation time, intraoperative blood loss, and hospitalization time of the observation group were better than those of the control group,the difference was statistically significant (P<0.05);The first hematoma clearance rate in the observation group was 89.36%, compared with 91.48% in the control group, the difference was not statistically significant (P>0.05);The intracranial pressure of the observation group was lower than that of the control group at 1 min, 24 h, and 3 d after operation,the difference was statistically significant (P<0.05);The postoperative neurological deficit score of the observation group was lower than that of the control group, and the score of daily living ability was higher than that of the control group, the difference was statistically significant (P＜0.05);The postoperative complication rate in the observation group was 8.51%, which was lower than 19.14% in the control group,the difference was statistically significant (P<0.05).Conclusion Both hematoma puncture drainage and craniotomy can achieve good results in the treatment of hypertensive cerebral hemorrhage.However, hematoma puncture drainage has a short operation time and less intraoperative blood loss, which can promote the recovery of patients’ nerve function, improve the ability of daily living, and has a low complication rate and good safety.

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更新日期/Last Update: 1900-01-01