微创钻孔引流术治疗高血压脑出血

Effect of minimally invasive drilling drainage on hypertensive intracerebral hemorrhage

目的分析高血压脑出血(HICH)应用微创钻孔引流术的治疗效果与神经功能缺损情况。方法选取2014年1月至2016年1月120例HICH患者的资料,分为研究组和对照组,每组60例。研究组实施微创钻孔引流术,对照组实施开颅血肿清除术,观察两组手术指标、手术前后血肿量及NIHSS与ADL评分。结果研究组手术时间、出血量及住院时间少于对照组,差异有统计学意义(P<0.05);研究组术后1、3、5 d血肿量低于对照组,差异有统计学意义(P<0.05);研究组NIHSS与ADL评分优于对照组,差异有统计学意义(P<0.05)。结论高血压脑出血患者应用微创钻孔引流术治疗优于传统开颅血肿清除术,具有较高的临床应用价值。

Objective To analyze the therapeutic effect and neurologic impairment of minimally invasive drilling drainage for the treatment of patients with hypertensive intracerebral hemorrhage（ HICH）. Methods The clincial data of 120 HICH patients from January 2014 to January 2016 were selected,and they were divided into study group and control group,with 60 patients in each group. The study group was given minimally invasive drilling drainage,whereas the control group was treated with craniotomy evacuation of hematoma. The surgical index,hematoma volume and NIHSS and ADL score before and after surgery were observed. Results The operation duration,blood loss and hospital stay in the study group were less than those in the control group,there were significant differences（ P〈0. 05）. The hematoma volumes on 1 d,3 d and5 d after the surgery in the study group were lower than those in the control group,and the differences were significant（ P〈0. 05）. NIHSS and ADL scores in the study group were better than those in the control group,there were significant differences（ P〈0. 05）. Conclusion For patients with hypertensive intracerebral hemorrhage,minimally invasive drilling drainage has better theraputic effect than the traditional craniotomy evacuation of hematoma and higher clinical value.