立体定向下血肿穿刺引流术治疗高血压脑出血的临床效果分析

Clinical effect analysis of stereotactic hematoma puncture drainage in the treatment of hypertensive cerebral hemorrhage

目的:观察分析立体定向下血肿穿刺引流术治疗高血压脑出血的临床效果,以期能够为治疗高血压脑出血患者提供相关数据参考。方法:选取本院(在2015年1月-2017年12月)收治的30例高血压脑出血患者,按照数字随机表法分为实验组(15例,应用立体定向下血肿穿刺引流术方法)和对照组(15例,应用常规保守治疗方法)。采用统计学分析两组高血压脑出血患者的血肿减少量、再出血发生率以及预后良好率。结果:①试验组高血压脑出血患者血肿减少量为(38.30±9.11)m L,对照组高血压脑出血患者血肿减少量为(5.45±2.26)mL,试验组高血压脑出血患者血肿减少量显著多于对照组(P <0.05);②试验组高血压脑出血患者的再出血发生率为6.67%(1/15),对照组为6.67%(1/15),两组高血压脑出血患者的再出血发生率比较无统计学意义(P> 0.05);③试验组高血压脑出血患者的预后良好率为93.33%(14/15),对照组为40.00%(6/15),试验组高血压脑出血患者的预后良好率显著高于对照组(P <0.05);④试验组高血压脑出血患者的预后不良率为6.67%(1/15),对照组为60.00%(9/15),试验组高血压脑出血患者的预后不良率显著低于对照组(P <0.05)。结论:立体定向下血肿穿刺引流术治疗高血压脑出血的临床效果显著。

Objective: To observe and analyze the clinical effect of stereotactic hematoma puncture and drainage in the treatment of hypertensive intracerebral hemorrhage and to provide relevant data for the treatment of hypertensive intracerebral hemorrhage. Methods: Thirty patients with hypertensive intracerebral hemorrhage treated in our hospital from January 2015 to December 2017 were randomly divided into the experimental group (15 cases, stereotactic hematoma puncture and drainage treatment) and the control group (15 cases, routine conservative treatment ). The reduction of hematoma, the incidence of recurrent hemorrhage and the rate of good prognosis were analyzed statistically. Results:(1) The reduction of hematoma in patients with hypertensive intracerebral hemorrhage in the experimental group was (38.30±9.11) mL and that in the control group was (5.45 ±2.26) mL, and that in the experimental group was significantly higher than that in the control group (P<0.05).(2) The incidence of re-bleeding in patients with hypertensive intracerebral hemorrhage was 6.67%(1/15) in the experimental group and 6.67%(1/15) in the control group. There was no significant difference in the incidence of re-bleeding between the two groups (P>0.05);(3). The prognosis of the patients with hypertensive intracerebral hemorrhage in the experimental group was better than that in the control group (P>0.05). The good prognosis rate was 93.33%(14/15) in the experimental group and 40.00%(6/15) in the control group. The prognosis of hypertensive intracerebral hemorrhage patients in the experimental group was significantly higher than that in the control group (P<0.05).(4) The poor prognosis rate of patients with hypertensive intracerebral hemorrhage was 6.67%(1/15) in the experimental group and 60.00%(9/15) in the control group. The rate of the poor prognosis in the experimental group was significantly lower than that in the control group (P<0.05). Conclusion: The clinical effect of stereotactic hematoma puncture and drainage for hypertensive intracerebral hemorrhage was remarkable.