比较微创穿刺抽吸术及开颅手术治疗高血压性脑出血的疗效
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摘要
目的比较微创穿刺抽吸术及开颅手术治疗高血压性脑出血的疗效即各自应用价值。方法选取2017年4月-2018年5月医院收治的脑出血患者74例。采取随机数字表法均分为两组。其中观察组37例患者采用微创穿刺抽吸手术。对照组37例患者采用开颅手术。比较两组74例患者治疗结局。结果观察组37例患者Fugl-Meyer运动功能评分以及日常生活能力显著优于对照组,对比差异有统计学意义(P<0.05)。观察组37例患者语言功能显著优于对照组(P<0.05)结论采用微创穿刺抽吸手术可有效治疗高血压性脑出血,对改善患者术后恢复质量有重要的临床意义,具有推广和利用价值。
Objective To compare the therapeutic effects of minimally invasive aspiration and craniotomy for hypertensive intracerebral hemorrhage,namely,their respective application values.Methods 74 patients with cerebral hemorrhage admitted to our hospital from April 2017 to May 2018 were selected.The random number table method was adopted and the patients weredivided into two groups.In the observation group,37 patients were treated with minimally invasive aspiration.In the control group,37 patients underwent craniotomy.The treatment outcomes of 74 patients in the two groups were compared.Results The fugl-Meyer motor function score and daily living ability of 37 patients in the observation group were significantly better than those in the control group,and the difference was statistically significant(P<0.05).The language function of 37 patients in the observation group was significantly better than that in the control group(P<0.05).Conclusion Minimally:invasive aspiration surgery can be used to treated patients in HICH effectively,which has important clinical significance in improving the postoperative recovery quality of patients and has popularization and utilization value.
Objective To compare the therapeutic effects of minimally invasive aspiration and craniotomy for hypertensive intracerebral hemorrhage,namely,their respective application values.Methods 74 patients with cerebral hemorrhage admitted to our hospital from April 2017 to May 2018 were selected.The random number table method was adopted and the patients weredivided into two groups.In the observation group,37 patients were treated with minimally invasive aspiration.In the control group,37 patients underwent craniotomy.The treatment outcomes of 74 patients in the two groups were compared.Results The fugl-Meyer motor function score and daily living ability of 37 patients in the observation group were significantly better than those in the control group,and the difference was statistically significant(P<0.05).The language function of 37 patients in the observation group was significantly better than that in the control group(P<0.05).Conclusion Minimally:invasive aspiration surgery can be used to treated patients in HICH effectively,which has important clinical significance in improving the postoperative recovery quality of patients and has popularization and utilization value.
引文
[1] 杨云振,马晓莉.高血压脑出血运用微创穿刺引流术治疗的效果分析[J].大家健康旬刊,2016,10(4):137-124.
[2] 官卫,马涛,刘春波,等.微创穿刺抽吸引流术治疗脑出血合并脑疝的可行性探讨[J].中国微侵袭神经外科杂志,2016,21(12):553-554.
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[5] 肖兴奎,陈杰,卢晓燕.微创穿刺与开颅手术治疗脑出血的疗效对比[J].临床医药文献电子杂志,2016,3(45):8950-8950.
[6] 李寿卫.CT定位下微创穿刺血肿清除术治疗老年高血压基底节区脑出血的短期临床疗效[J].医药前沿,2016,6(28):177-178.
[7] 石怀智,李骥腾,何继军.微创穿刺与小骨孔开颅治疗高血压脑出血疗效比较[J].中外女性健康研究,2016,12(7):18-18.
[8] 何小平,牛小亚.大量出血的老年性高血压脑出血患者微创手术治疗体会[J].中国临床研究,2015,28(4):749-471.
[9] 刘继东,宋来君.软通道微创穿刺引流术对高血压脑出血患者神经功能及抑郁状态的影响[J].中华神经医学杂志,2016,15(11):1170-1172.
[10] 张强.传统开颅手术与显微镜下微创手术治疗基底节区高血压脑出血的临床疗效比较[J].医学综述,2016,22(6):1246-1248.
[11] 薛雷.微创穿刺术与小骨窗开颅术治疗老年脑出血的疗效比较[J].山东医药,2017,57(46):92-94.
[12] 唐韬.尿激酶辅助微创穿刺血肿抽取术治疗高血压脑出血的临床观察[J].陕西医学杂志,2017,46(4):434-435.
[2] 官卫,马涛,刘春波,等.微创穿刺抽吸引流术治疗脑出血合并脑疝的可行性探讨[J].中国微侵袭神经外科杂志,2016,21(12):553-554.
[3] 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中国医学前沿杂志(电子版),2011,3(5):42-93.
[4] 王广山.硬通道微创穿刺引流术治疗高血压脑出血对血肿清除率及神经功能改善的影响[J].中国实用医药,2017,12(24):48-49.
[5] 肖兴奎,陈杰,卢晓燕.微创穿刺与开颅手术治疗脑出血的疗效对比[J].临床医药文献电子杂志,2016,3(45):8950-8950.
[6] 李寿卫.CT定位下微创穿刺血肿清除术治疗老年高血压基底节区脑出血的短期临床疗效[J].医药前沿,2016,6(28):177-178.
[7] 石怀智,李骥腾,何继军.微创穿刺与小骨孔开颅治疗高血压脑出血疗效比较[J].中外女性健康研究,2016,12(7):18-18.
[8] 何小平,牛小亚.大量出血的老年性高血压脑出血患者微创手术治疗体会[J].中国临床研究,2015,28(4):749-471.
[9] 刘继东,宋来君.软通道微创穿刺引流术对高血压脑出血患者神经功能及抑郁状态的影响[J].中华神经医学杂志,2016,15(11):1170-1172.
[10] 张强.传统开颅手术与显微镜下微创手术治疗基底节区高血压脑出血的临床疗效比较[J].医学综述,2016,22(6):1246-1248.
[11] 薛雷.微创穿刺术与小骨窗开颅术治疗老年脑出血的疗效比较[J].山东医药,2017,57(46):92-94.
[12] 唐韬.尿激酶辅助微创穿刺血肿抽取术治疗高血压脑出血的临床观察[J].陕西医学杂志,2017,46(4):434-435.