微创穿刺置管引流术治疗脑出血患者的临床疗效

Clinical Effect of Minimally Invasive Puncture and Drainage in the Treatment of Patients with Cerebral Hemorrhage

目的探讨微创穿刺置管引流术治疗脑出血患者的临床疗效。方法选取2016年3月至2019年3月我院收治的100例脑出血患者,根据治疗方法的不同将其分为常规开颅组和微创组,每组50例。常规开颅组选择常规骨瓣开颅血肿清除手术,微创组选择立体定向仪辅助下颅内血肿穿刺置管引流术。比较两组患者的手术时间、术中出血量、切口长度、术后住院时间,评估治疗前后两组患者的生活质量[SF-36简明健康状况量表(SF-36)]、神经功能[美国国立卫生院卒中量表(NIHSS)]、精神状态[简明智力状态检查量表(MMSE)],统计两组不良反应发生情况。结果微创组手术时间、术后住院时间均短于常规开颅组,术中出血量少于常规开颅组,切口长度短于常规开颅组,差异有统计学意义(P<0.05);治疗后,微创组SF-36评分、MMSE评分均高于常规开颅组,NHISS评分低于常规开颅组,差异有统计学意义(P<0.05)。微创组不良反应发生率低于常规开颅组,差异有统计学意义(P<0.05)。结论针对脑出血患者实施立体定向仪辅助下颅内血肿穿刺置管引流术可获得较好的效果,且患者的创伤小、住院时间短、神经功能改善明显。

Objective To explore the clinical efficacy of minimally invasive puncture catheter drainage in the treatment of patients with cerebral hemorrhage.Methods Select 100 patients with cerebral hemorrhage admitted to our hospital from March 2016 to March 2019,and divide them into conventional craniotomy group and minimally invasive group according to different treatment methods,with 50 cases in each group.The conventional craniotomy group chose conventional bone flap craniotomy to remove hematoma,and the minimally invasive group chose stereotactic instrument-assisted intracranial hematoma puncture and drainage.The operation time,intraoperative blood loss,incision length,and postoperative hospitalization time were compared between the two groups of patients,and the quality of life of the two groups before and after treatment[SF-36 Concise Health Status Scale(SF-36)],neurological function The National Institutes of Health Stroke Scale(NIHSS)],mental state[Mini-Mental State Examination Scale(MMSE)],statistics of the occurrence of adverse reactions in the two groups.Results The operation time and postoperative hospitalization time in the minimally invasive group were shorter than those in the conventional craniotomy group,the intraoperative blood loss was less than that in the conventional craniotomy group,and the incision length was shorter than that in the conventional craniotomy group,the difference was statistically significant(P<0.05);after treatment,the SF-36 score and MMSE score of the minimally invasive group were higher than those of the conventional craniotomy group,and the NHISS score was lower than that of the conventional craniotomy group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the minimally invasive group was lower than that in the conventional craniotomy group,and the difference was statistically significant(P<0.05).Conclusion For patients with cerebral hemorrhage,the stereotactic instrument-assisted intracranial hematoma puncture and drainage can obtain better results,and the patients have less trauma,shorter hospital stay,and obvious improvement of neurological function.