老年高血压脑出血实施急诊微创手术治疗的效果观察

Effect of emergency minimally invasive surgery on hypertensive cerebral hemorrhage in elderly patients

目的观察老年高血压脑出血实施急诊微创手术治疗的效果。方法选取2014年12月~2016年12月在我院治疗的老年高血压脑出血患者84例纳入本次研究,采用单双号分组法将其随机分为两组。保守组老年高血压脑出血患者42例使用内科保守疗法治疗,微创组老年高血压脑出血患者42例采用微创穿刺血肿液化引流术进行治疗。将两组患者经过不同方式治疗前后的神经功能缺损积分、治疗后的总有效率及并发症情况进行对比。结果治疗后,微创组老年高血压脑出血患者的总有效率为83.33%,显著优于保守组(P<0.05);治疗后,微创组患者的神经功能缺损积分为(18.64±8.67)分,明显较治疗前及治疗后的保守组更优(P<0.05);微创组患者的并发症发生率为4.76%,明显低于保守组(P<0.05)。结论微创穿刺血肿液化引流术治疗老年高血压脑出血患者的效果可观,创伤小,值得广泛推广使用。

Objective To observe the effect of emergency minimally invasive surgery on hypertensive cerebral hemorrhage in elderly patients. Methods 84 elderly patients with hypertensive cerebral hemorrhage treated in our hospital from December 2014 to December 2016 were enrolled and randomly divided into two groups after signing informed consent. The 42 patients in the conservative group were given conservative therapy, while the 42 patients in the minireally invasive group were given minimally invasive hematoma fluidify drainage. The nerve function deficit scores, overall response rates, and complications were compared between two groups. Results After treatment, the overall response rate in the minimally invasive group was 83.33%, significantly higher than that of the conservative group（P〈0.05）; the nerve function deficit score in the minimally invasive group was（18.64±8.67） after treatment, which was significantly higher than that before treatment and that of the conservative group after treatment（P〈0.05）. The incidence rate of complications was 4.76% in the minimally invasive group, which was significantly lower than that in the conservative group（P〈0.05）. Conclusion Minimally invasive hematoma fluidify drainage is an effective method with minimal injury in treatment of hypertensive cerebral hemorrhage in elderly patients, which is worthy to be promoted.