立体定向颅内血肿穿刺引流术治疗27例老年高血压脑出血患者的疗效分析

Stereotactic Intracranial Hematoma Puncture and Drainage for the Treatment of 27 Elderly Patients with Hypertensive Cerebral Hemorrhage

目的探究立体定向颅内血肿穿刺引流术治疗老年高血压脑出血的临床疗效。方法选取2019年2—8月该科室54例老年高血压脑出血患者进行此次研究,选用电脑随机数字法分为两组,对比组27例(保守治疗),研究组27例(立体定向颅内血肿穿刺引流术治疗),分析两组并发症发生率、脑神经功能缺损评分和临床治疗总有效率。结果数据结果显示:研究组总发生率为7.41%,对比组为40.74%,差异有统计学意义(χ^2=8.206,P=0.004);研究组术后7 d脑神经功能缺损评分为(28.4±3.6)分,对比组为(35.2±5.1)分,差异有统计学意义(t=5.660,P=0.000);研究组术后14 d脑神经功能评分为(22.1±3.3)分,对比组为(27.6±4.6)分,差异有统计学意义(t=5.048,P=0.000);研究组术后3个月脑神经功能评分为(17.2±2.4)分,对比组为(19.8±3.2)分,差异有统计学意义(t=3.377,P=0.001);研究组总有效率为96.30%,对比组为77.78%,差异有统计学意义(χ^2=4.103,P=0.042)。结论在老年高血压脑出血患者中进行立体定向颅内血肿穿刺引流术治疗,能够减免临床并发症的发生,改善不同时间段患者的脑神经功能。

Objective To explore the clinical effect of stereotactic intracranial hematoma puncture and drainage on elderly hypertensive cerebral hemorrhage.Methods Case selection time:February 2019 to August 2019,a total of 54 elderly hypertensive cerebral hemorrhage patients in the undergraduate department were selected for this study.The computer random number method was divided into 2 groups,and the comparison group was 27 cases(conservative treatment),27 cases in the study group(stereotactic intracranial hematoma puncture and drainage treatment),the analysis of the incidence of complications,brain nerve function defect scores and clinical treatment total effectiveness in both groups.Results The data showed that the total incidence rate in the study group was 7.41%,the comparison group was 40.74%,the difference was statistically significant(χ^2=8.206,P=0.004);the contrast group score was(35.2±5.1)points,the difference was statistically significant(t=5.660,P=0.000);the brain nerve function score of the study group was(22.1±3.3)points after 14 days,and the contrast group was(27.6±4.6)points,the difference was statistically significant(t=5.048,P=0.000);brain nerve function score was(17.2±2.4)points in the study group 3 months after operation,(19.8±3.2)points in the control group,the difference was statistically significant(t=3.377,P=0.001);the study group always had the efficiency of 96.30%,the contrast group was 77.78%,the difference was statistically significant(χ^2=4.103,P=0.042).Conclusion Stereotactic intracranial hematoma puncture and drainage in elderly patients with hypertensive intracerebral hemorrhage can reduce the occurrence of clinical complications and improve the brain nerve function of patients in different periods of time.