摘要
目的探究颅内微创穿刺血肿引流术治疗老年高血压脑出血的临床效果及对患者生活质量的影响。方法方便2015年1月—2020年5月该院收治的60例老年高血压脑出血患者,以随机数表法分组,对照组开颅血肿清除术治疗,研究组颅内微创穿刺血肿引流术治疗,分析两组治疗的结果。结果研究组老年高血压脑出血患者的总有效率为93.33%,高于对照组总有效率66.67%,差异有统计学意义(χ^(2)=6.667,P=0.010);研究组治疗后NIHSS评分(10.12±1.32)分低于对照组NIHSS评分(15.44±1.65)分,GOS评分(4.56±0.27)分高于对照组GOS评分(4.02±0.15)分,差异有统计学意义(t=13.790、9.576,P<0.05);研究组社会功能(60.12±3.69)分、药物影响(57.80±5.02)分、认知功能(60.45±5.97)分、精力(59.45±6.82)分、情感健康(59.78±5.02)分、生活质量(60.17±3.62)分、发作担忧(56.78±6.33)分均高于对照组社会功能(46.85±3.71)分、药物影响(46.33±6.25)分、认知功能(47.89±5.12)分、精力(52.13±3.79)分、情感健康(48.39±3.97)分、生活质量(45.25±6.39)分、发作担忧(46.29±6.78)分,差异有统计学意义(t=13.980、7.837、8.747、5.139、9.748、11.127、6.194,P<0.05);研究组并发症发生率为3.33%,低于对照组并发症发生率30.00%,差异有统计学意义(χ^(2)=7.680,P<0.05)。结论老年高血压患者接受颅内微创穿刺血肿引流术治疗,可更好地改善患者的神经功能缺损程度以及其预后情况,且并发症发生率低,更好地促进患者生活质量的提高。
Objective To explore the clinical effect of minimally invasive puncture and drainage of intracranial hematoma in the treatment of senile hypertensive cerebral hemorrhage and its influence on the quality of life of the patients.Methods Conveniently select 60 cases of senile hypertensive cerebral hemorrhage admitted to the hospital from January 2015 to May 2020 were divided into groups by random number table.The control group was treated with craniotomy hematoma removal,while the study group was treated with intracranial minimally invasive puncture hematoma drainage.The treatment results of the two groups were analyzed.Results The total effective rate in the study group was 93.33%,which was higher than the total effective rate in the control group,and the difference was statistically significant(χ^(2)=6.667,P=0.010).NIHSS score of the study group(10.12±1.32)points was lower than that of the control group(15.44±1.65)points,GOS score of the study group(4.56±0.27)points was higher than that of the control group(4.02±0.15)points,and the difference was statistically significant(t=13.790,9.576,P<0.05).The study group's social function(60.12±3.69)points,drug influence(57.80±5.02)points,cognitive function(60.45±5.97)points,energy(59.45±6.82)points,emotional health(59.78±5.02)points,the scores for quality of life(60.17±3.62)points and anxiety(56.78±6.33)points were higher than those of the control group for social function(46.85±3.71)points,drug influence(46.33±6.25)points,and cognitive function(47.89±5.12)points,energy(52.13±3.79)points,emotional health(48.39±3.97)points,quality of life(45.25±6.39)points,anxiety(46.29±6.78)points,and the difference was statistically significant(t=13.980,7.837,8.747,5.139,9.748,11.127,6.194,P<0.05);the complication rate of the study group was 3.33%,which was lower than the control group’s complication rate of 30.00%,and the difference was statistically significant(χ^(2)=7.680,P<0.05).Conclusion In elderly patients with hypertension,minimally invasive intracranial puncture and drainage of hematoma can better improve the degree of neurological impairment and prognosis of the patients,with a low incidence of complications,and better promote the improvement of the quality of life of the patients.
作者
吴雪峰
WU Xuefeng(Department of Neurosurgery,Yixing Second People's Hospital,Yixing,Jiangsu Province,214221China)
出处
《中外医疗》
2021年第27期37-40,共4页
China & Foreign Medical Treatment
关键词
颅内微创穿刺血肿引流术
老年患者
高血压脑出血
生活质量
Tracranial minimally invasive puncture hematoma drainage
Elderly patients
Hypertensive cerebral hemorrhage
The quality of life
