微创穿刺术在44例大量脑出血患者治疗中的应用效果

Application effect by minimally invasive paracentesis in the treatment of 44 massive cerebral hemorrhage patients

目的探究微创穿刺术在大量脑出血疾病治疗中的临床运用价值。方法 88例大量脑出血患者,按随机单盲法分为对照组与实验组,每组44例。对照组予以保守治疗(如血压控制、甘露醇药物等),实验组在此基础之上予以微创穿刺术治疗。比较两组患者的疗效。结果实验组患者治疗后的总有效率(84.1%)、并发症发生率(20.5%)与对照组(61.4%、31.8%)比较,差异均具有统计学意义(P<0.05)。结论在保守治疗的基础上,对大量脑出血患者实施微创穿刺术治疗,效果甚佳,且并发症少,值得在临床上推行。

Objective To investigate clinical application value by minimally invasive paracentesis in the treatment of massive cerebral hemorrhage. Methods A total of 88 patients with massive cerebral hemorrhage were randomly divided into control group and experimental group, with 44 cases in each group. The control group received conservative treatment（blood pressure control and mannitol drugs）, and the experimental group received additional minimally invasive paracentesis for treatment. Curative effects of the two groups were compared. Results There were statistically significant differences of total effective rate and incidence of complications between the experimental group（84.1%, 20.5%） and the control group（61.4%, 31.8%）（P〈0.05）. Conclusion Implement of minimally invasive paracentesis in addition to conservative treatment provides precise effect and few complications for massive cerebral hemorrhage patients. It is worth clinical application.