CT立体定向抽吸引流术对基底节区脑出血患者生活质量的影响

Effect of stereotactic CT guided drain and aspiration on quality of life in the patients with basal ganglia hemorrhage

目的比较基底节区脑出血血肿抽吸引流术治疗与常规药物治疗两种方法；对脑出血后患者神经功能缺损和生活质量影响的差异。方法采用神经功能缺损评分（NFI）及生活质量综合评定问卷（GQOLI）测定脑出血两种治疗方法后3月、6月时的神经功能状况及生活质量分值。结果血肿抽吸引流术治疗组患者3月和6月时NFI评分[分别为（16．3±3．1）分，（15．7±3．5）分]低于常规药物治疗组[分别为（18．7±3．3）分，（17．9±3．4）分]，差异具有显著性（p〈0．01）；血肿抽吸引流术治疗组患者3月和6月时的生活质量包括睡眠与精力、躯体不适感、生理功能、运动与感官功能、认知功能、业余生活、工作等方面均显高于常规药物治疗组，差异具有显著性（P〈0．05）。结论血肿抽吸引流术治疗较常规药物治疗更能改善脑出血患者的神经功能缺损症状，提高患者的中、远期的生活质量。

Objective To compare the difference of the nerve functional status and the quality of life between the drain and aspiration group and the control group of patients with basal ganglia hemorrhage. Methods 3 and 6 months later , the questionnaires of nerve functional insufficient （NFI） and the general quality of life inventory （GQOLI） were employed to evaluate the nerve functional status and quality of life of patients with cerebral hemorrhage. Results The score of NFI is significantly lower in drain and aspiration group [ （ 16.3 ± 3.1 ）, （ 15.7 ± 3.5 ） respectively ] than that of control group [ （ 18.7 ± 3.3 ）, （ 17.9 ± 3.4）, P 〈 0.01 ]. The scores of quality of life in sleep and energy, somatic symptoms, psychological function, movement and sensory, cognitive function, lelsure-time entertainment work are significantly higher in drain and aspiration group than that of control group（ P 〈 0.05 ）. Conclusion The treatment of drain and aspiration is better than that of control group in improving the patients＇ nerve functional status and quality of life.