颞部与额部微创穿刺手术治疗高血压脑出血疗效比较被引量：2

Comparison of the effect of minimally invasive puncture between the ankle and forehead for the treatment of hypertensive intracerebral hemorrhage

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摘要目的探讨高血压脑出血患者进行颞部与额部入路微创穿刺手术的临床效果。方法选取2017年1月~2019年2月入院的高血压脑出血患者105例,按随机数字表法分为两组,颞部组60例和额部组45例,所有患者均进行微创穿刺引流治疗。观察两组患者术后血肿残余量、血肿完全吸收时间、意识障碍恢复时间、住院时间和日常生活活动能力量表(ADL评分)、并发症等。结果额部组患者的血肿残余量(术后3 d)明显少于颞部组,且血肿完全吸收时间短于颞部组(P<0.01);两组患者意识障碍恢复时间和住院时间比较有显著差异(P<0.05),两组术后ADL评分、并发症发生率等指标比较均无显著差异(P>0.05)。结论颞部与额部穿刺手术均能达到良好的治疗效果,且患者预后无明显差异,但额部穿刺在早期血肿清除和恢复时间方面具有一定优势。 Objective To investigate the clinical effect of minimally invasive puncture by the ankle and frontal approach in patients with hypertensive intracerebral hemorrhage.Methods A total of 105 patients with hypertensive intracerebral hemorrhage admitted to hospital from January 2017 to February 2019 were enrolled and divided into two groups according to the random number table,including 60 cases in the ankle approach group and 45 cases in the frontal approach group.All patients underwent minimally invasive puncture drainage treatment.The postoperative hematoma residual,complete hematoma absorption time,recovery time of consciousness disorder,hospitalization time and activity of daily living ability(ADL score),and complications were observed in the two groups.Results The residual amount of hematoma in the frontal group(3 days after surgery)was significantly lower than that in the ankle group,and the complete hematoma absorption time was shorter than that in the ankle group(P<0.01).There was a significant difference in the recovery time of consciousness disorder and hospitalization time between the two groups(P<0.05).There were no significant differences in postoperative ADL scores and complication rates between the two groups(P>0.05).Conclusion Both the ankle and frontal puncture can achieve a good therapeutic effect,and there is no significant difference in the prognosis of the patient.However,the frontal puncture has certain advantages in early hematoma clearance and recovery time.

作者赵志英马大程张银善高昊郭宗培 ZHAO Zhiying;MA Dacheng;ZHANG Yinshan;GAO Hao;GUO Zongpei(Department of Neurosurgery Emergency Rescue Center,Beijing Red Cross Society,Beijing100192,China)

机构地区北京市红十字会急诊抢救中心神经外科

出处《中国现代医生》 2020年第1期8-10,14,共4页 China Modern Doctor

关键词高血压脑出血微创穿刺手术日常生活活动能力预后 Hypertensive intracerebral hemorrhage Minimally invasive puncture Activity of daily living Prognosis

分类号 R651.1 [医药卫生—外科学]

作者简介通讯作者:郭宗培。