微创穿刺引流辅助治疗高血压脑出血突发脑疝的疗效观察

Efficacy of minimally invasive puncture and drainage in the adjuvant treatment of hypertensive cerebral hemorrhage with sudden cerebral hernia

目的:研究探讨微创穿刺引流辅助治疗高血压脑出血突发脑疝的效果。方法:选取我院治疗的60例高血压脑出血突发脑疝患者为研究对象,随机分为实验组31例和对照组29例,实验组给予开颅血肿清除、去骨瓣减压术联合微创穿刺引流,对照组给予开颅血肿清除、去骨瓣减压术。比较两组患者术后生活质量、脑血流及并发症情况。结果:实验组患者术后生活质量评分明显高于对照组(P<0.05)。实验组患者术后各项脑血流指标(大脑中动脉收缩期、舒张末期血流速度,平均血流速度,脉动指数和阻力指数)均优于对照组(P<0.05),实验组患者术后并发症发生率低于对照组(P<0.05)。结论:开颅血肿清除、去骨瓣减压术联合微创穿刺引流治疗高血压脑出血突发脑疝可提高患者生活质量,改善脑血流情况,降低并发症发生情况。

Objective:To discuss the effect of minimally invasive puncture and drainage in the adjuvant treatment of hypertensive cerebral hemorrhage combined with sudden cerebral hernia.Methods:60 hypertensive cerebral hemorrhage patients with sudden cerebral hernia treated in our hospital were selected as the subjects.They were randomized into the experimental group(n=31)and control group(n=29).Patients in the experimental group adopted craniotomy hematoma removal,bone flap decompression combined with minimally invasive puncture and drainage;while the control group received craniotomy hematoma removal and bone flap decompression.Then the postoperative quality of life,cerebral blood flow and complications were compared between patients in both groups.Results:The postoperative quality of life score of the experimental group was significantly higher than that of the control group(P<0.05).All the indexes of cerebral blood flow(including middle cerebral artery systole,end diastolic velocity,mean blood flow velocity,pulse index and resistance index)in the experimental group were better than those in the control group(P<0.05),and the incidence of postoperative complications in the experimental group was lower than that in the control group(P<0.05).Conclusion:Craniotomy hematoma Removal and bone flap decompression combined with minimally invasive puncture and drainage for the treatment of hypertensive cerebral hemorrhage with sudden cerebral hernia can improve the quality of life,improve the cerebral blood flow and reduce complications of patients.