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微创颅内血肿抽吸引流术治疗脑出血的临床分析 被引量:5

Minimally invasive intracranial hematoma suction drainage for the treatment of intracerebral hemorrhage
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摘要 目的探讨微创颅内血肿抽吸引流术治疗脑出血的临床效果和价值。方法选取2016年1月~2017年1月本院接收的脑出血患者80例,按照患者意愿,将其分为对照组(35例)和观察组(45例)。对照组采用保守治疗,观察组采用微创颅内血肿抽吸引流术治疗,对比两种治疗手段的实施效果。结果观察组治疗后4周、治疗后12周的神经功能缺损评分均低于对照组,两组比较差异有统计学意义(P<0.05);观察组随访期间的日常生活能力明显高于对照组,两组比较差异有统计学意义(P<0.05);观察组中恢复良好及轻度残疾的患者比例明显高于对照组,两组比较差异有统计学意义(P<0.05);观察组并发症发生率为6.67%,对照组并发症发生率为22.86%,两组比较差异具有统计学意义(P<0.05)。结论对脑出血患者采用微创颅内血肿抽吸引流术治疗,可有效降低并发症发生率,促进神经功能的快速恢复,值得临床推广应用。 Objective To investigate the clinical effect and value of suctioning and draining drainage of intracranial hematoma to treat cerebral hemorrhage.Methods Eighty ICH patients admitted to our hospital from January 2016 to January 2017 were selected and divided into control group(n=35)and observation group(n=45)according to patients'wishes.The control group received conservative treatment,the observation group was treated with minimally invasive intracranial hematoma aspiration and drainage,compared with the two treatment methods.Results The scores of neurological deficit in observation group 4 weeks after treatment and 12 weeks after treatment were lower than those in control group,the difference was statistically significant(P<0.05);the daily living ability of observation group during follow-up was significantly higher than that of control group,The difference between the two groups was statistically significant(P<0.05);the proportion of patients with good recovery and mild disability in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05);the complication occurred in the observation group The rate of complications was 6.67%in the control group and 22.86%in the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion The treatment of intracerebral hemorrhage with minimally invasive intracranial hematoma drainage and drainage can effectively reduce the incidence of complications and promote the rapid recovery of nerve function,which deserves clinical application.
作者 依不拉音.吾买尔 Ibrahim·omar(Department of Neurosurgery,Kuqa County People's Hospital,Aksu Prefecture,Aksu,Xinjiang,842000,China)
出处 《当代医学》 2018年第11期96-97,共2页 Contemporary Medicine
关键词 脑出血 微创颅内血肿抽吸引流术 保守治疗 效果对比 Cerebral hemorrhage Minimally invasive intracranial hematoma suction drainage Conservative treatment Effect comparison
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