探究CT定位下微创穿刺治疗高血压基底节区脑出血的临床疗效

Exploring the Clinical Efficacy of Minimally Invasive Puncture in the Treatment of Hypertensive Basal Ganglia with CT

目的为了提高高血压基底节区脑出血患者的治疗效果,探究CT定位下微创穿刺治疗的价值和意义。方法随机从该院及南山区人民医院2014年7月—2019年4月接诊的高血压基底节区脑出血患者中选取50例作为研究对象,其中予以常规开颅血肿清除术方案治疗的25例患者列为对照组,予以CT定位下微创穿刺治疗的25例患者列为观察组,比较不同治疗方案在病死率、美国国立卫生研究院卒中量表(NIHSS)评分及日常生活能力指数(Barthel)评分、血肿量。结果观察组和对照组患者术后的病死率分别为1(4.00%)和7(28.00%),和对照组相比观察组患者术后病死率明显降低切两组比较,差异有统计学意义(χ^2=3.98,P<0.05);观察组和对照组患者治疗前的NIHSS量表评分、Barthel评分、血肿量比较,差异无统计学意义(P>0.05),治疗后观察组患者的NIHSS量表评分、Barthel评分、血肿量和对照组相比显著增加,差异有统计学意义(P<0.05)。结论高血压基底节区脑出血患者接受CT定位下微创穿刺治疗,不仅可以明显减少病死率,还可以降低颅内血肿量改善神经功能,提高患者生活能力恢复速度,改善预后。

Objective To improve the therapeutic effect of patients with cerebral hemorrhage in basal ganglia of hypertension,and to explore the value and significance of minimally invasive puncture treatment under CT positioning.Methods A total of 50 patients with cerebral hemorrhage from the basal ganglia of the Department of Nursing from July 2014 to April 2019 in our hospital and Nanshan District People's Hospital were selected as subjects.Twenty-five patients treated with craniotomy hematoma evacuation were included in the control group.Twenty-five patients who underwent minimally invasive puncture under CT were included in the observation group.The mortality rates of the different treatment regimens were compared with the National Institutes of Health Stroke Scale(NIHSS)score and daily living ability index(Barthel)score,hematoma volume.Results The postoperative mortality rates of the observation group and the control group were 1(4.00%)and 7(28.00%),respectively.Compared with the control group,the postoperative mortality was significantly lower in the observation group.The difference between the two groups was statistically significant(χ^2=3.98,P<0.05);There was no significant difference in the NIHSS scale,Barthel score,and hematoma volume between the observation group and the control group(P>0.05).The NIHSS scale scores of the observation group after treatment,Barthel scores,and hematoma volume were significantly increased compared with the control group,and the difference was statistically significant(P<0.05).Conclusion Patients with hypertensive basal ganglia with cerebral hemorrhage under CT positioning can not only significantly reduce the mortality rate,but also reduce the amount of intracranial hematoma to improve neurological function,improve the recovery rate of patients'life ability and improve the prognosis.