摘要
目的分析立体定向软通道微创血肿穿刺引流术治疗高血压脑出血的临床效果。方法选取广东省河源市人民医院2020年2月至2021年2月收治的50例高血压脑出血患者进行研究,所有患者均采用随机数表法进行分组,均分为观察组(25例,立体定向软通道微创血肿穿刺引流术)与对照组(25例,常规治疗)。观察组实施立体定向软通道微创血肿穿刺引流术进行治疗,对照组则给予传统开颅血肿清除术进行治疗。对比两组患者经临床治疗后的临床疗效、生活能力、格拉斯哥昏迷指数评分、生活质量。结果两组患者经临床治疗后,临床疗效进行对比发现,观察组患者总有效率为(96.00%),显著高于对照组总有效率(60.00%),P<0.05;两组患者经临床治疗后,患者生活能力进行对比。治疗前,两组患者ADL评分差异较小(P>0.05),无统计学意义。治疗后,观察组患者ADL评分为(86.37±4.16)分,显著高于对照组ADL评分(72.63±3.52)分;治疗前,两组患者GCS评分差异较小(P>0.05),无统计学意义,治疗后,观察组患者GCS评分为(12.35±2.13)分,显著高于对照组GCS评分(7.16±2.05)分,P<0.05;两组患者经临床治疗后,患者术后生活质量进行对比,观察组患者生活质量评分显著高于对照组评分,P<0.05。结论立体定向穿刺可显著提高对患者临床疗效,提高患者生活能力,降低患者神经功能损伤,改善患者生活质量,值得广泛推广使用。
Objective To analyze the clinical effect of stereotactic soft channel minimally invasive hematoma puncture and drainage in the treatment of hypertensive cerebral hemorrhage.Methods 50 patients with hypertensive cerebral hemorrhage admitted to Guangdong Heyuan People’s Hospital from February 2020 to February 2021 were selected for the study.All patients were divided into observation group(25 cases,stereotactic soft channel minimally invasive hematoma puncture and drainage)and control group(25 cases,conventional treatment)by random number table method.The observation group was treated with stereotactic soft channel minimally invasive hematoma puncture and drainage,while the control group was treated with traditional craniotomy hematoma removal.Clinical efficacy,living ability,Glasgow coma index score and quality of life were compared between the two groups after clinical treatment.Results After the clinical treatment,the clinical efficacy of the two groups was compared.The total effective rate of the observation group was 96.00%,significantly higher than that of the control group(60.00%),(P<0.05).After clinical treatment,patients’living ability was compared between the two groups.Before treatment,there was little difference in ADL scores between 2 groups(P>0.05),without statistical significance.After treatment,ADL score of observation group(86.37±4.16)was significantly higher than that of control group(72.63±3.52).Before treatment,there was little difference in GCS score between the two groups(P>0.05),but after treatment,the GCS score of observation group was(12.35±2.13),which was significantly higher than that of control group(7.16±2.05),P<0.05.After clinical treatment,the quality of life of patients in the two groups was compared,and the quality of life score in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Stereotactic puncture can significantly improve the clinical efficacy of patients,improve the ability of life of patients,reduce the neurological damage of patients,improve the quality of life of patients,it is worthy of widespread use.
作者
李文生
杨建雄
杨文佼
LI Wen-sheng;YANG Jian-xiong;YANG Wen-jiao(Heyuan People's Hospital,Heyuan,Guangdong 517000)
出处
《智慧健康》
2021年第23期90-92,共3页
Smart Healthcare
关键词
立体定向穿刺
高血压
脑出血
Stereotactic puncture
High blood pressure
Cerebral hemorrhage
