颅内压监护下颞部置管血肿外引流术的经济性及安全性研究

Economic and safety study on external drainage of temporal hematomas with catheter under intracranial pressure monitoring

目的 探讨颅内压监护下颞部置管血肿外引流术的经济性及安全性.方法 选取2018年10月-2021年9月河源市人民医院收治的80例中等量高血压脑出血(HICH)患者,按照随机摸球法分成A组与B组,每组40例,B组给予保守药物治疗,A组给予颅内压监护下颞部置管血肿外引流术治疗,比较两组临床疗效、预后情况、经济性、并发症发生率.结果 A组与B组相比,治疗总有效率明显更高(P<0.05);两组治疗后日常生活活动能力量表(BI)评分有明显提高(P<0.05),神经功能缺损程度量表(CSS)评分有明显降低(P<0.05),A组与B组相比,BI评分明显更高(P<0.05),CSS评分明显更低(P<0.05);A组与B组相比,血肿吸收时间、住院时间明显更短(P<0.05),住院费用明显更少(P<0.05);A组与B组相比,并发症发生率明显更低(P<0.05).结论 HICH患者给予颅内压监护下颞部置管血肿外引流术,能够提升临床疗效,改善预后情况,具有较高的经济性和安全性.

Objective To explore the economics and safety of external drainage of temporal hematomas with catheter under intracranial pressure monitoring.Met hods A total of 80 patients with hypertensive cerebral hemorrhage(HIGH)admitted to our hospital from October 2018 to September 2021 were selected and randomly divided into group A and group B according to the ball-feeling method,with 40 patients in each group.Group B was treated with conservative drugs,group A was treated with external drainage of temporal catheter hematoma under intracranial pressure monitoring.The clinical efficacy,prognosis,economy and complication rate of the two groups were compared.Results The total effective rate in group A was significantly higher than that in group B(P<0.05).After treatment,the scores of daily living activities Scale(BI)in both groups were significantly increased(P<0.05),and the scores of neurological impairment Scale(CSS)were significantly decreased(P<0.05).Compared with group B.the BI score in group A was significantly higher(P<0.05),and the CSS score was significantly lower(P<0.05).Compared with group B.hematoma absorption time and hospitalization time were significantly shorter in group A(P<0.05),and hospitalization cost was significantly lower in group A(P<0.05).The complication rate of group A was significantly lower than that of group B(P<0.05).Con elusion For HIGH patients,external drainage of temporal hematomas hy catheterization under intracranial pressure monitoring can improve clinical efficacy and prognosis,with high economy and safety.