摘要
目的 对比分析应用脑出血微创手术与置管吸引手术联合治疗老年脑出血患者的临床疗效。方法 选取2015年12月至 2016年12月在我院接受治疗的患有脑出血的高龄患者68例作为临床研究对象,按照入院时间先后依次编号01至68, 以双号患者为对照组,单号患者为试验组。对照组34例患者接受传统开颅手术治疗,试验组34例患者应用脑出血微 创手术与置管吸引手术联合治疗,比较所有患者术后神经功能以及生活质量情况。结果 两组患者经不同手术方法 治疗后,对照组患者的神经功能评分显著高于试验组患者的神经功能评分;对照组患者的社会功能分、生理功能 分、精神健康分与情感职能分显著低于试验组患者,差异具有统计学意义(P<0.05)。结论 应用脑出血微创手术 与置管吸引手术联合治疗患脑出血的高龄患者相比传统开颅手术治疗的方法,安全性更高,对神经功能影响小,术 后恢复情况更好,值得在临床上广泛推广应用。
Objective To compare the clinical efficacy of minimally invasive surgery with intracerebral hemorrhage and catheter aspiration in the treatment of elderly patients with cerebral hemorrhage. Methods 68 patients with cerebral hemorrhage were selected as the clinical subjects from December 2015 to December 2016. According to the admission time, the patients were numbered 01 to 68, and double patients as the control group, single patient as the test group. 34 patients in the control group were treated with traditional craniotomy. 34 patients in the experimental group were treated with minimally invasive cerebral hemorrhage and catheterization. The neurological function and quality of life were compared in all patients. Results The neurological function score in the control group was significantly higher than that in the experimental group after treatment with different surgical methods. The physical function of the patients in the control group, the physiological function, the mental health, the emotional function, which were significantly lower than the experimental group, the difference were statistically significant (P<0.05). Conclusion The combination of minimally invasive cerebral hemorrhage surgery and catheterization surgery in the treatment of elderly patients with cerebral hemorrhage compared with traditional craniotomy treatment methods, higher safety, little impact on neurological function, postoperative recovery is better,it is worth Widely used in clinical practice.
【关键词】脑出血微创手术;置管吸引手术;脑出血
【中图分类号】R722.15+1
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.03.002
前言
微创手术与置管吸引手术联合应用于治疗脑出血 患者是近年新兴的治疗手段,具有创口小,更有效的 控制出血量等优势,为探讨应用脑出血微创手术与置 管吸引手术联合应用的手术方式对该疾病患者进行治 疗是否可改善以上问题[1]。特选取了近年来在我院接 受治疗的患有脑出血的老年患者68例做临床平行对比 试验,现报告如下。
罕少疾病杂志
第24卷, 第 3 期
2019年11月
相关文章