CT立体定位引导穿刺引流术联合脑电仿生电刺激仪治疗高血压脑出血的效果研究

Effect of CT Stereotactic Guided Puncture and Drainage Combined with EEG Bionic Electrical Stimulator on Hypertensive Intracerebral Hemorrhage

目的 探讨CT立体定位引导穿刺引流术联合脑电仿生电刺激仪对高血压性脑出血(HICH)的临床治疗效果。方法 选择2017年1月~2022年2月本院收治的98例HICH患者,采用随机数表法分为A组和B组,A组49例予以CT立体定位引导穿刺引流术治疗,B组在A组基础上加用脑电仿生电刺激仪治疗。观察两组疗效、康复进程,对比治疗两组治疗前后日常生活能力、神经功能、运动功能及认知功能变化。结果 与A组相比,B组总治疗有效率更高,差异明显(P<0.05);两组术前各项评分指标比较差异不明显(P>0.05);与术前相比,两组术后4周Barthel指数量表(BI)评分Fugl-Meyer运动功能评分量表(FMA)评分及蒙特利尔认知评估量表(MoCA)评分更高,而美国国立卫生院脑卒中量表(NIHSS)评分更低,且B组BI量表评分、FMA评分及MoCA评分较A组高,NIHSS评分较A组低,差异显著(P<0.05)。结论 CT立体定位引导穿刺引流术联合脑电仿生电刺激仪治疗HICH可提高临床疗效,加速患者康复进程,促进患者日常生活能力恢复,且有助于改善患者神经功能、运动功能及认知功能。

Objective To explore the clinical effect of CT stereotactic guided puncture and drainage combined with EEG bionic electrical stimulator on hypertensive intracerebral hemorrhage(HICH).Methods 98 patients with hich admitted to our hospital from January 2017 to February 2022 were randomly divided into group A and group B.49 patients in group A were treated with CT stereotactic guided puncture and drainage,and group B was treated with EEG bionic electrical stimulator on the basis of group A.The curative effect and rehabilitation process of the two groups were observed,and the changes of daily living ability,neurological function,motor function and cognitive function before and after treatment were compared between the two groups.Results the total effective rate of group B was higher than that of group A(P<0.05);There was no significant difference between the two groups(P>0.05);Compared with before operation,the Bi scale score,FMA score and MOCA score of the two groups were higher at 4 weeks after operation,while the NIHSS score was lower.Moreover,the Bi scale score,FMA score and MOCA score of group B were higher than that of group A,and the NI HSS score was lower than that of group A(P<0.05).Conclusion CT stereotactic guided puncture and drainage combined with EEG bionic electrical stimulator can improve the clinical efficacy,accelerate the recovery process of patients with hypertensive cerebral hemorrhage,promote the recovery of daily living ability,and help to improve the neurological function,motor function and cognitive function of patients.