微创手术联合置管吸引术对脑出血患者的治疗效果及生活质量的影响

Influence of Minimally Invasive Surgery Combined with Catheter Suction on the Treatment Effect and Life Quality of Patients with Cerebral Hemorrhage

目的探讨微创手术联合置管吸引术对脑出血患者的治疗效果及生活质量的影响。方法选取2018年1月至2019年12月我院收治的100例脑出血患者,随机分为两组各50例。观察组采用微创手术联合置管吸引术治疗,对照组采用传统开颅手术治疗。结果观察组的手术时间短于对照组,术后7 d水肿体积、神经功能评分低于对照组,术后1 d血肿清除率高于对照组(P<0.05)。观察组的精神、躯体疼痛、社会功能、生理职能评分高于对照组(P<0.05)。观察组的肺部感染率、消化道出血率低于对照组(P<0.05)。结论与传统开颅手术相比,微创手术联合置管吸引术治疗脑出血可缩短手术时间,改善患者术后神经功能与生活质量,提高治疗效果,具有更高的安全性,值得推广应用。

Objective To explore the influence of minimally invasive surgery combined with catheter suction on treatment effect and life quality of patients with cerebral hemorrhage.Methods 100 patients with cerebral hemorrhage from January 2018 to December 2019 in our hospital were selected and randomly divided into two groups,with 50 cases in each group.The observation group was treated with minimally invasive surgery combined with catheter suction,and the control group was treated with traditional craniotomy.Results The operation time of the observation group was shorter than that of the control group,the edema volume and neurological function score at 7 days after surgery were lower than those of the control group,and the hematoma clearance rate at 1 day after surgery was higher than that of the control group(P<0.05).The scores of spirit,physical pain,social function and physiological function in the observation group were higher than those in the control group(P<0.05).The pulmonary infection rate and gastrointestinal bleeding rate of the observation group were lower than those of the control group(P<0.05).Conclusions Compared with traditional craniotomy,minimally invasive surgery combined with catheter suction in the treatment of cerebral hemorrhage can shorten the operation time,improve the postoperative neurological function and quality of life,and improve the treatment effect with higher safety,which is worthy of promotion and application.