微创手术联合置管吸引术对脑出血患者生活质量及神经功能缺损影响

Analysis of the effect of minimally invasive surgery combined with suction on the quality of life and neurological function in patients with intracerebral hemorrhage

目的研究微创手术联合置管吸引术对脑出血患者生活质量及神经功能缺损的影响。方法选择本院2013年4月-2015年4月收治的96例脑出血患者作为研究对象,根据不同治疗方式分为对照组和观察组,每组48例。对照组患者进行常规开颅清除术治疗,观察组患者行微创手术联合置管吸引手术治疗,比较两组患者的治疗效果。结果手术7 d后,观察组患者的神经功能缺损评分显著低于对照组,差异有统计学意义(P<0.05)。观察组患者术后并发症发生率为20.83%,显著低于对照组58.33%,差异有统计学意义(P<0.05)。观察组患者术后6个月的生理机能、活力、精神健康、躯体疼痛、总体健康、社会功能以及情感职能等生活质量评分均显著高于对照组,差异均有统计学意义(均P<0.05)。结论微创手术联合置管吸引术可显著改善脑出血患者的神经功能缺损情况,降低术后并发症发生率,提高患者生活质量,值得临床推广。

Objective To study the effect of minimally invasive surgery combined with suction on the quality of life and neurological function in patients with intracerebral hemorrhage.Methods 96 cases of cerebral hemorrhage in our hospital from April 2013 to April 2015 were selected as the research object, according to the different treatment methods were divid- ed into the control group and the observation group two groups, each group of 48 cases. Patients in the control group were treated with routine craniotomy, the observation group were treated with minimally invasive surgery combined with surgical treatment, and the treatment effect was compared between the two groups.Results 7 days after surgery, patients with neu- rological deficit scores were significantly lower than the control group（P〈O.05）. Patients in the observation group of the in- cidence of postoperative complications was 20.83%, significantly lower than 58.33% in the control group （P〈0.05）. The physiological function, 6 months of observation group of patients with postoperative vitality, mental health, body pain, gen- eral health, social function and emotional function, quality of life scores were significantly higher than that of the control group（P〈0.05）. Conclusion Minimally invasive surgery combined with intubation suction can significantly improve the neurological function defect of patients with cerebral hemorrhage, reduce the incidence of postoperative complications, im- prove the quality of life of patients, it is worthy of clinical recommendation.