微创介入脑部血肿在神经内科治疗效果分析

Analysis on Effect of Brain Hematoma Neural Department of Internal Medicine Interventional Treatment

目的探讨针对神经内科脑部血肿患者,选择微创介入疗法完成治疗后的临床效果表现。方法选取2011年07月~2014年07月神经内科脑部血肿患者30例。根据随机数表法将所有脑部血肿患者分为A1组（观察组15例）与A2组（对照组15例）。A1组：微创介入方法给予手术治疗;A2组：选择药物保守治疗方法;对比A1组与A2组脑部血肿患者临床治疗效果表现出的差异,在QOL评分（生存质量评分）以及NHISS评分（神经功能缺损评分）等方面表现出的差异。结果在治疗总好转率方面,A1组脑部血肿患者高于A2组患者极为显著（P〈0.05）;在临床死亡率方面,A1组脑部血肿患者低于A2组患者明显（P〈0.05）;完成治疗后,同准备治疗前进行比较,A1组与A2组患者在NHISS评分以及QOL评分两方面,改善程度极为显著（P〈0.05）;并且A1组改善程度优于A2组患者极为显著（P〈0.05）。结论针对脑部血肿患者,选择微创介入的手术方法,可以成功将患者的脑部血肿症状清除,对患者所造成的创伤较小,患者能顺利度过脑水肿高峰期,患者的神经功能以及生存质量均可以获得显著的提高,表现较低临床疾病死亡率,值得临床广泛推广。

Objective To investigate the neural Department of internal medicine for brain hematoma patients,clinical effect the selection of interventional therapy after completing treatment.Methods 30 cases were selected in our hospital in2011 07 months to 2014 07 months neurological department of internal medicine brain hematoma.According to the random number table method will all the brain hematoma patients were divided into A1 group（observation group 15 cases） and group A2（control group of 15 cases）.Group A1： minimally invasive interventional method gives the operation treatment;group A2： choose the medicine conservative treatment methods; comparing the differences between A1 group and A2 group of brain hematoma in patients with clinical treatment result showed,in the QOL score（quality of life score） and NHISS score（score of neural function defect） differences in aspects of exhibits.Results In the treatment of total improvement rate,A1 group of brain hematoma were higher in group A2 patients was significant（P〈0.05）; in clinical mortality,A1 group of brain hematoma patients than in the A2 group were significantly（P〈0.05）; after the completion of treatment,the same preparation were compared before treatment,group A1 and group A2 with a score of two in the NHISS score and QOL,the degree of improvement is very significant（P〈0.05）; and the A1 group is better than the patients in the A2 group were significant（P〈0.05）.Conclusions In view of the brain hematoma,choice of minimally invasive operation method can successfully intervention,brain hematoma patients with symptoms of clearance,to patients caused by minor trauma,patients can smoothly through the brain edema,neurological function and quality of life can achieve significantly improved performance,lower clinical disease mortality,and is worthy of popularization clinical.