58例脑出血患者微创穿刺清除技术治疗后并发症及死亡率的分析

Complications and mortalities after intracranial hematoma microinvasive craniopunture scavenging technique in 58 patients with intracerebral hemorrhage

目的比较颅内血肿微创穿刺清除技术(MPST)与单纯药物治疗中等量脑出血(ICH)并发症的发生率及死亡率。方法选择ICH出血量为30～50 ml的急性期患者为研究对象,以行MPST治疗的患者为治疗组(58例),以单纯药物治疗者为对照组(58例)。对两组患者的并发症及死亡率进行比较。结果治疗组并发症的总发生率及死亡率与对照组比较明显减少,差异有统计学意义(P<0.05)。治疗组并发的肺部感染、脑心综合征、神经源性肺水肿、呼吸衰竭发生率均较对照组低,差异有统计学意义(P<0.05)。结论 MPST治疗中等量ICH的并发症发生率及死亡率较单纯药物治疗组明显降低,值得临床推广。

Objective To compare the incidence of complications and mortalities in patients with medium volume of intracerebral hemorrhage（ICH） by the treatment with intracranial hematoma microinvasive craniopunture scavenging technique（MPST） and with drug treatment. Methods A total of 116 acute intracerebral hemorrhagic patients with the hematoma volume of 30-50 ml were enrolled.Fifty-eight patients received MPST treatment,while the other 58 received drug treatment（control group）.The complications and mortalities were statistically compared between the two groups. Results The incidence of complications and mortalities in the MPST group were remarkable lower than those in the control group（P0.05）.The incidences of lung infections,cardio-cerebral syndrome,neurogenic pulmonary edema and respiratory failure in the MPST group were significantly lower than in the control group（P0.05）. Conclusions MPST treatment can decrease the incidence of complications and the mortality compared with the drug treatment group in ICH patients with medium volume hematoma.