摘要
目的探讨微创穿刺治疗术对脑出血患者神经功能恢复和卒中后抑郁(PSD)发生率的影响。方法以107例分别接受微创血肿穿刺术治疗(n=65)和传统开颅血肿清除术治疗(n=42)的脑出血患者为研究对象。在入院、病程30d和90d时应用美国国立卫生研究院卒中量表(NIHSS)评定患者神经功能缺损情况,在病程30d和90d时应用Zung抑郁自评量表(SDS)评定抑郁状态,比较两种治疗方法术后对PSD发生率的影响,并分析PSD与患者神经功能缺损程度的关系。结果在病程30d和90d,微创治疗组NIHSS评分、PSD发生率均低于开颅治疗组(P<0.05)。SDS评分与NIHSS评分之间均存在正相关关系。结论微创穿刺颅内血肿清除术是治疗脑出血的一种有效方法,不仅患者神经功能恢复良好,而且术后PSD发生率较传统开颅组低。脑出血术后SDS评分与术后神经功能缺损程度呈正相关。
Objective To discuss the effect of minimally invasive puncture on cerebral hemorrhage neurolog- ical recovery and the incidence of post-stroke depression （PSD）. Methods One hundred and seven patients with cere- bral hemorrhage were treated by minimally invasive puncture （the study group, n=65） and traditional hematoma era- niotomy remove （the control group, n=42）. The patients＇ neural function defects were assessed by the National Insti- tutes of Health Stroke scale （NIHSS） at admission, 30 d and 90 d after treatment. Patients＇ depression was assessed by the Zung self-rating depression scale （SDS） 30 d and 90 d after treatment. The incidence of PSD were compared between the two groups, and the relationship between PSD and patients neural fimction defect degree were analyzed. Results 30 d and 90 d after treatment, NIHSS scores and the incidence of PSD in the study group were significant- ly lower than those in the control group （P〈0.05）. NIHSS scores were positively correlated to SDS score. Conclu- sion Minimally invasive puncture removal of intraeranial hematomas is a kind of effective method for treating cere- bral hemorrhage, with good recovery of neurological function and low incidence of PSD. There is a positive correla- tion between SDS score and disorders of nervous fi.mctions degree.
出处
《海南医学》
CAS
2012年第18期4-6,共3页
Hainan Medical Journal
关键词
脑出血
抑郁
微创血肿穿刺术
开颅血肿清除术
Cerebral hemorrhage
Depression
Minimally invasive puncture hematoma
Hematoma craniotomy remove
