CT立体定位引导穿刺引流技术治疗高血压脑出血疗效研究

Clinical application effect of puncture drainage technique under CT Stereotaxis in treatment of hypertensive intracerebral hemorrhage

目的:探讨CT立体定位引导下实施穿刺引流术治疗高血压性脑出血的疗效及对患者生存质量的影响。方法:选取经影像学检查确诊为高血压性脑出血患者123例作为研究对象,并将其随机分为对照组和观察组(61例)。观察组采用CT立体定位引导穿刺引流术进行治疗,对照组则采用传统开颅手术方法进行治疗。对比两组术后神经功能缺失评分(NDS)、日常生活能力评分(ADL)和格拉斯哥预后评分(GOS)评分。记录两组术后10d并发症发生情况。结果:治疗后,观察组NDS评分明显低于对照组,ADL评分和GOS评分均高于对照组,各项评分间差异存在统计学意义(P<0.05)。而观察组术后10d内并发症发生率仅为6.56%,明显低于对照组(29.03%),两组10d内并发症发生率间差异存在统计学意义(P<0.05)。结论:应用CT立体定位引导穿刺引流术治疗高血压脑出血疗效好,预后良好且并发症少,安全性高。

Objective:To explore the effect of puncture and drainage in the treatment of hypertensive cerebral hemorrhage under CT stereotactic guidance and its influence on the quality of life of patients.Methods:Twenty-three patients with hypertensive intracerebral hemorrhage diagnosed by radiographic examination were selected as study subjects,and randomly divided into control group and observation group(61 cases).The observation group was treated with CT stereotactic guide puncture drainage,the control group was treated with traditional craniotomy.The neurological deficit score(NDS),the daily living ability score(ADL),and the Glasgow Outcome Score(GOS)scores were compared between the two groups.The complications at 10 days after surgery were recorded.Result:There was no statistical difference in the general data between the two groups(P>0.05).After treatment,the NDS scores in the observation group were significantly lower than those in the control group,and the ADL scores and GOS scores were higher than those in the control group,and the differences among the scores were statistically significant(P<0.05).The incidence of complications in the observation group within 10 days after surgery was only 6.56%,which was significantly lower than that in the control group(29.03%),and there was a significant difference between the two groups within 10 days(P<0.05).Conclusion:The application of CT stereotactic guided puncture drainage for the treatment of hypertensive intracerebral hemorrhage has good curative effect,good prognosis,less complications and safety.