立体定向穿刺微创引流术治疗高血压脑出血患者的临床研究

Clinical study of stereotactic puncture and minimally invasive drainage in the treatment of hypertensive intracerebral hemorrhage

目的分析立体定向穿刺微创引流术治疗高血压脑出血患者的疗效及运动能力影响。方法将本院110例高血压脑出血患者分为观察组和对照组,用立体定向穿刺微创引流术治疗观察组患者,用常规开颅术治疗对照组患者。详细收集并记录两组患者治疗过程的各项数据指标,统计完整两组的临床结果,分析研究两组治疗方案的最终疗效、生活质量、运动能力、神经功能等情况。结果观察组治疗效果优于对照组(P <0.05);观察组治疗后15 d时的NIHSS评分低于对照组,治疗后7 d、30 d的上下肢Fugl-Meyer评分均高于对照组,治疗后6个月的Barthel分级优于对照组,均存在统计学差异(P <0.05)。结论在高血压脑出血的治疗中可采用立体定向穿刺微创引流术,其疗效显著,减轻患者神经功能损伤,利于患者运动能力的康复。

Objective To analyze the efficacy of stereotactic perforated minimally invasive drainage on patients with hypertensive intracerebral hemorrhage and influence on exercise ability. Methods 110 patients with hypertensive intracerebral hemorrhage in our hospital were divided into the observation group and the control group. Stereotactic perforated minimally invasive drainage was used to treat patients in the observation group, and conventional craniotomy was used to treat patients in the control group. The various data indicators during treatment were collected and recorded in the two groups in detail, and the clinical results between the two groups were statistically completed, and the final efficacy of treatment regimen, quality of life, exercise ability and neurological function were analyzed and studied in the two groups. Results The treatment effect of the observation group was better than that of the control group(P < 0.05). The NIHSS score of the observation group at 15 d after treatment was lower than that of the control group while the Fugl-Meyer scores of the upper and lower extremities at 7 d and 30 d after treatment were higher than those of the control group, and the Barthel classification at 6 months after treatment was superior to that of the control group(P < 0.05). Conclusion In the treatment of hypertensive intracerebral hemorrhage,stereotactic perforated minimally invasive drainage has obvious efficacy, and can reduces the neurological function damage, and is beneficial to the rehabilitation of exercise ability of patients.