摘要
目的探讨微创锥颅抽吸引流术在老年高血压性脑出血中的应用效果。方法选取2016年8月~2018年12月我院收治的100例老年高血压性脑出血患者作为研究对象,采用随机数字表法将其分为对照组(50例)和研究组(50例)。对照组患者采用开颅血肿清除术,研究组患者采用微创锥颅抽吸引流术。比较两组患者的临床治疗效果、手术前后美国国立卫生研究院卒中量表(NIHSS)评分、手术前后日常生活活动能力评定(BI)指数以及并发症发生情况。结果研究组患者的治疗总有效率(92.00%)高于对照组(72.00%),差异有统计学意义(P<0.05);两组患者术前的NIHSS、BI评分比较,差异无统计学意义(P>0.05);研究组患者术后的NIHSS评分[(12.02±2.03)分]低于对照组[(15.10±2.85)分],差异有统计学意义(P<0.05);研究组患者术后的BI评分[(74.35±6.15)分]高于对照组[(66.10±6.75)分],差异有统计学意义(P<0.05);研究组患者的并发症总发生率(4.00%)低于对照组(16.00%),差异有统计学意义(P<0.05)。结论老年高血压性脑出血患者,应用微创锥颅抽吸引流术治疗的效果显著,值得临床应用。
Objective To investigate the effect of minimal invasion of cranial aspiration and drainage in older adult patients with hypertension intracerebral hemorrhage(HICC).Methods One hundred older adult patients with HICC in our hospital from August 2016 to December 2018 were selected as subjects.The patients were divided into the control group(n=50)and the study group(n=50)by the random number table method.Patients in the control group underwent craniotomy evacuation of hematoma,and in the study group,minimal invasion of cranial aspiration and drainage was used.The clinical effect,the National Institutes of Health stroke scale(NIHSS)score before and after surgery,the activity of daily living index(BI)before and after surgery,and the incidence of complications were compared between the two groups.Results The total therapeutic effectiveness rate in the study group was 92.00%,which was higher than that in the control group accounting for 72.00%,the difference was statistically significant(P<0.05).There were no differences in the preoperative NIHSS score or preoperative BI score between the two groups(P>0.05).After surgery,the NIHSS score was(12.02±2.03)points in the study group,which was lower than that in the control group for(15.10±2.85)points,the difference was statistically significant(P<0.05).The BI score was(74.35±6.15)points in the study group,which was higher than that in the control group for(66.10±6.75)points,the difference was statistically significant(P<0.05).The total incidence of complications in the study group was 4.00%,lower than that of the control group accounting for 16.00%,with statistical significance(P<0.05).Conclusion The treatment of HICC older adult patients performed with minimal invasion of cranial aspiration and drainage can obtain a remarkable effect.This is worthy of clinical application.
作者
吴世强
骆安林
方挺
关惠东
李文添
WU Shi-qiang;LUO An-lin;FANG Ting;GUAN Hui-dong;LI Wen-tian(Department of Neurosurgery,Yangchun People's Hospital,Guangdong Province,Yangchun 529600,China)
出处
《中国当代医药》
2020年第1期53-56,共4页
China Modern Medicine
基金
广东省阳江市医疗卫生类科技计划项目(阳科通[2019]50号-115)
关键词
微创锥颅抽吸引流术
老年
高血压性脑出血
疗效
Minimal invasion of cranial aspiration and drainage
Old age
Hypertension intracerebral hemorrhage
Efficacy
