YL-1型穿刺针结合颅内压检测治疗颅内血肿的效果及对预后的影响

Effect of YL-1 type puncture needle combined with intracranial pressure detection in the treatment of intracranial hematoma and their effect on prognosis

目的 观察YL-1型穿刺针结合颅内压检测治疗颅内血肿的效果及其预后情况,为临床治疗提供参考.方法 选取上海市崇明县第二人民医院神经外科2011年1月～2013年1月收治的90例颅内血肿患者,随机分为观察组和对照组,每组各45例.观察组采用YL-1型穿刺针结合颅内压检测进行治疗,对照组采用手动锥颅血肿碎吸术进行治疗.对比两组患者术后的意识水平、瞳孔缩小时间、颅内血肿清除率以及预后情况.结果 治疗1周后,观察组格拉斯哥昏迷指数评分[（11.58±3.12）分]及颅内血肿清除率[（91.74±5.13）％]均显著高于对照组[（9.48±3.49）分、（71.06±4.72）％],而瞳孔恢复时间[（58.02±9.58）h]则显著少于对照组[（66.47±10.42）h],差异有统计学意义（P＜0.05）.所有患者均获得3～6个月随访,观察组预后良好率为82.22％ （37/45）,重残率为17.78％（8/45）,对照组预后良好率为62.22％（28/45）,重残率为37.78％ （17/45）,观察组预后良好率显著高于对照组,重残率显著低于对照组,差异均有统计学意义（P＜0.05）.结论 YL-1型穿刺针结合颅内压监测治疗颅内血肿具有较好的临床疗效,能够显著改善患者的预后,值得在临床上进一步推广应用.

Objective To observe the effect of YL-1 type puncture needle combined with intracranial pressure detection in the treatment of intracranial hematoma and their effect on prognosis,and to provide the reference for the clinical treatment.Methods 90 cases of intracranial hematoma in the department of neurosurgery from January 2011 to January 2013 in the Second People＇s Hospital of Chongming County were selected and randomly divided into the observation group and control group with 45 cases in each group.The patients in the observation group were treated with YL-1 puncture needle combined with intracranial pressure detection,while in the control group using manual stereotaxic aspiration treatment.The indexes of postoperative levels of consciousness,miosis time,intracranial hematoma clearance rate and prognosis between both groups were compared.Results 1 week after treatment,the Glasgow coma score index and intracranial hematoma clearance rate of observation group [（11.58±3.12） scores,（91.74±5.13）％] were significantly higher than that of the control group [（9.48±3.49） scores,（71.06±4.72）％],and the pupil recovery time of observation group [（58.02±9.58） h] was significantly less than that in the control group [（66.47±10.42） h],the differences were statistically significant （P ＜ 0.05）.All patients were followed up for 3-6 months,the good prognosis rate and the severe disability rate of observation group was 82.22％ （37/45）,17.78（8/45） respectively,while the good prognosis rate and the severe disability rate of control group was 62.22％ （28/45） and 37.78％ （17/45） respectively,the good prognosis rate in observation group was higher than that of the control group,severe disability rate in observation group was lower than that of the control group,the differences were statistically significant （P ＜ 0.05）.Conclusion YL-1 type puncture needle combined with intracranial pressure detection has better clinical curative effect in the treatment of intracranial hematoma,it can significantly improve the prognosis,is worthy of further application in clinical practice.