经额定向穿刺术治疗高血压基底节区脑出血的效果观察

Effects of forehead orientating puncture therapy on hypertensive basal ganglia hemorrhage

目的探讨经额定向穿刺术治疗高血压基底节区脑出血的临床应用效果。方法选取100例高血压基底节区脑出血患者作为研究对象,按照随机数表法分为对照组和研究组,对照组50例予以传统开颅手术治疗,研究组50例予以经额定向穿刺术治疗。统计并比较两组患者手术时间、术后并发症及术后1个月病死率,随访6个月,比较两组患者日常生活活动能力。结果研究组平均手术时间为(42.28±11.34)min,短于对照组的(173.53±41.38)min(P<0.05)。研究组患者局灶性脑梗死、头部其他并发症、气管切开、肺部感染等并发症发生率低于对照组,研究组术后1个月病死率低于对照组(P<0.05)。研究组日常生活活动能力优良率(90.00%)高于对照组(46.00%),差异均有统计学意义(P<0.05)。结论经额定向穿刺术治疗高血压基底节区脑出血可有效缩短手术时间,降低并发症发生率及病死率,改善预后。

Objective To investigate the clinical effects of forehead orientating puncture therapy on hypertensive basal ganglia hemorrhage. Methods A total of 100 patients with hypertensive basal gan- glia hemorrhage were selected as the research objects, and they were divided into the control group and the study group according to the random number table method, with 50 cases in each group. The patients in the control group were treated by traditional craniotomy, and the patients in the study group were treated by forehead orientating puncture therapy. The operative time, postoperative complications and mortal-ity 1 month after the operation were compared between the two groups. After following up for six months, the activities of daily living of the patients were compared between the two groups. Results The average operation time of the study group [ （42.28±11.34 ） min ] was shorter than that of the control group [ （ 173.53±41.38） min] （P 〈0.05）. The incidence of complications such as focal cerebral infarction, other head complications, tracheotomy and pulmonary infection in the study group was lower than that of the control group （P 〈 0.05）. The mortality of the study group was significantly lower than that of the control group 1 month after the operation, the difference was significant （ P 〈 0.05 ）. The excellent rate of activities of daily living in the study group （90%） was higher than that in the control group （46%）, the difference was significant （ P 〈 0. 05 ）. Conclusions basal time, rebral ganglia hemorrhage, forehead orientating puncture In the treatment of patients with hypertensive therapy can effectively shorten the operation reduce the morbidity and mortality, and improve the prognosis of hypertensive basal ganglia intrace- hemorrhage.