不同时期微创钻孔引流术治疗高血压脑出血的临床效果

Clinical efficacy of different periods minimally invasive drilling drainage for hypertensive intracerebral hemorrhage

目的探讨不同时期微创钻孔引流术治疗高血压脑出血临床效果。方法回顾性分析高血压脑出血患者49例的临床资料,所有患者均采用微创钻孔引流术治疗。其中23例患者在发病后7h内手术,为研究组,其中26例患者在发病后7~72h内手术为对照组。术后1个月及6个月随访,比较近期及远期疗效。结果两组术后再出血、肺部感染、消化道出血的发生率比较差异无统计学意义（P〉0.05）。研究组近期疗效优良率56.5%,对照组23.1%,差异有统计学意义（P〈0.05）。研究组远期疗效生活可自理的比例63.6%,对照组29.2%（7/24）,差异有统计学意义（P〈0.05）。结论对与高血压脑病患者在超早期进行微创钻孔引流术,能够显著改善患者预后,提高患者生存质量,并且不增加再出血等并发症的发生。

Objective To discuss clinical efficacy of different periods minimally invasive drilling drainage for hypertensive intracerebral hemorrhage. Methods Clinical data of 49 cases with hypertensive intracerebral hemorrhage were respectively analyzed,and all patients were treated with minimally invasive drilling drainage.23 cases of study were operated within 7 hours after pathogenesis,and 26 cases of control group were operated within 7 to 72 h after pathogenesis.Following up for 1 month and 6 month,term efficacy and long-term efficacy were compared between two groups. Results Rebleeding,lung infection,the incidence of gastrointestinal bleeding after operation of two group showed no significant difference（P〈 0.05）.Term efficacy,excellent rate of study group was 56.5%,and control group was 23.1%,which showed significant difference（P〈 0.05）.Long-term efficacy, the proportion of life can take care of themselves of study group was 63.6%,and control group was 29.2%,which showed significant difference（P〈 0.05）. Conclusion Ultra-early minimally invasive drilling drainage for hypertensive intracerebral hemorrhage can improve prognosis and quality of life,without increasing rebleeding complications.