超早期微创穿刺引流手术对于基底节区脑出血患者的临床疗效分析

Clinical Effect of Ultra Early Minimally Invasive Puncture and Drainage in Patients with Basal Ganglia Hemorrhage

目的探讨超早期微创穿刺引流手术治疗基底节区脑出血患者的临床疗效。方法该研究方便选取2014年1月—2015年12月福建省第三人民医院神经外科84例基底节区脑出血患者按照数字表法将收治的基底节区脑出血患者随机分为研究组和对照组,其中对照组采用药物保守治疗,而研究组则采用微创穿刺引流术治疗。结果研究组的血肿消散时间较对照组明显缩短(t=8.92,P<0.05)。研究组治疗后日常生活能力评分等级(I级24例,II级9例,III级4例,IV级3例,V级0例)与对照组(I级13例,II级9例,III级8例,IV级8例,V级0例)相比较差异有统计学意义(u=2.19,P<0.05)。在治疗后1个月[(15.45±1.45)分,(22.87±2.92)分]及治疗后3个月[(6.32±1.29)分,(9.68±1.82)分],研究组的神经功能缺陷评分明显优于对照组(t=6.53、4.11,P<0.05)。结论超早期微创穿刺引流手术治疗基底节区脑出血患者的临床疗效显著,手术风险低,值得临床推广使用。

Objective To investigate the clinical effect of ultra early minimally invasive puncture and drainage in the treatment of cerebral hemorrhage in basal ganglia region. Methods According to the digital table method,form January 2014 to December in the people＇s hospital of Fujian province department 84 cases patients with the basal ganglia intracerebral hemorrhage were randomly divided into study group and control group, the control group was treated with conservative medical treatment, while the study group was used minimally invasive puncture drainage treatment. Results Compared with the control group, the study group was significantly shorter than the control group（t=8.92, P〈0.05）. There was significant difference between the study group（grade I 24 cases, II grade 9 cases, III grade 4 cases, IV grade 3 cases, V grade 0 cases） and the control group（grade I 13 cases, II grade 9 cases, III grade 8 cases, IV grade 8 cases, V grade 0 cases） after treatment（u=2.19, P〈0.05）. Treatment after 1 month[（15.45±1.45）scores,（22.87±2.92）scores] after treatment and 3 months[（6.32±1.29）scores,（9.68±1.82） scores]. The study group of nerve function defect score is obviously superior to the control group（t=6.53,4.11, P〈0.05）. Conclusion The clinical effect of ultra early minimally invasive puncture drainage in the treatment of cerebral hemorrhage in basal ganglia area was significant, and the operation risk was low. It was worth to be popularized and used.