体位引流对颅内血肿穿刺引流术的疗效分析

Efficacy analysis of body position drainage on intracranial hematoma after puncture and drainage surgery

目的探讨体位引流在颅内血肿穿刺引流术后的临床疗效。方法选取2015年1月至2017年9月入院行穿刺引流术治疗的高血压脑出血患者共60例,随机分为体位引流组和非体位引流组,每组各30例。结果体位引流组术后第3 d、5 d的血肿清除率分别为(91.20±6.16)%、(94.17±4.58)%,明显高于非体位引流组的(87.17±8.24)%和(89.40±6.12)%,差异有统计学意义。结论体位引流有助于血肿排出,减少血肿对脑组织的损伤,减少并发症,缩短置管时间和住院时间,提高手术疗效,值得临床推广。

Objective To investigate the clinical effect of postural drainage in intracranial hematoma after treated with puncture and drainage surgery. Methods A total of 60 patients with hypertensive intracerebral hemorrhage in our department from January 2015 to September 2017 were randomly divided into 2 groups,i. e.postural drainage group and non-postural drainage group,of 30 patients each. Results The hematoma clearance rate in postural drainage group [（ 91. 20 ± 6. 16） %,3 d,（ 94. 17 ± 4. 58 %,5 d] was significantly higher than that in non-postural drainage group [（ 87. 17 ± 8. 24） %,3 d,（ 89. 40 ± 6. 12） %,5 d] on day 3,5 postoperation,the difference was statistically significant. Conclusion Postural drainage helps to hematoma evacuation,reduce the damage by hematoma on brain tissue,improve surgical efficacy and patient＇s prognosis and worth clinical promotion.