微创血肿清除治疗对脑出血后神经功能恢复和经济支出的影响

Effect of minimally invasive technique on neurofunctional rehabilitation and economic burden of cerebral hemorrhage patient

目的探讨微创血肿清除对脑出血后神经功能恢、住院天数和经济支出的影响。方法将74例脑出血患者随机分为微创治疗组和常规治疗组,在发病后1、3、6个月3个时间点,采用美国国立卫生院卒中评分(NIHSS)、改良Barthel指数(MBI)、临床痴呆分级量表(CDR)和汉语失语检查表(ABC)分别对神经功能、日常生活能力、痴呆程度及语言功能进行评分,同时观察患者住院期间的经济支出。结果 1、3、6个月时,微创组NIHSS评分、MBI指数、ABC评分均高于常规治疗组(P<0.05)。在3、6个月时,微创组CDR分级较常规治疗组低(P<0.05)。微创组住院天数和住院期间经济支出均少于常规治疗组(P<0.05)。结论微创血肿清除对脑出血患者神经功能恢复具有一定促进作用,且住院天数和住院期间经济支出均较少。

Objective To discuss the effect of minimally invasive technique on neurofunctional rehabilitation and economic burden of cerebral hemorrhage patients. Methods 74 patients with cerebral hemorrhage were randomly divided into minimally invasive group and routine cure group. At 1, 3 and 6 months after occurrence of their diseases, nerve function, daily living ability, degree of dementia and linguistic function of these patients were evaluated respectively by means of national institute of health stroke scale（NIHSS） , Modified Barthel Index（MBI）, Clinical Dementia Rating（CDR） and Aphasia Battery in Chinese（ ABC ）. The economic burden of cerebral hemorrhage patients was also observed. Results The scores of ESS, MBI and ABC in minimally invasive group were obvious improved at the 1, 3 and 6 months compared with routine treatment group （ P 〈 0.05 ）. The score of CDR at 3 and 6 months of minimally invasive group was obvious less than that of routine group（ P 〈 0.05 ）. Economic burden and inpatient days in minimally invasive group were less than that in routine group. Conclusion Minimally invasive technique could improve neurofunetional rehabilitation and may decrease economic burden and inpatient days of cerebral hemorrhage patients.