钻孔引流术应用于高血压脑出血患者的效果分析

Effect Analysis of Drilling and Drainage in Patients with Hypertensive Cerebral Hemorrhage

目的:分析钻孔引流术应用于高血压脑出血患者的效果。方法:选取2020年2月—2022年6月北京顺义医院收治的高血压脑出血患者80例作为研究对象,依据随机数字表法分为两组,各40例。对照组采取小骨窗开颅血肿清除术治疗,观察组采取钻孔引流术及尿激酶治疗。比较两组治疗效果。结果:术后2周,两组神经功能缺损评分低于术前,且观察组低于对照组,差异有统计学意义(P<0.001)。观察组手术时间、意识恢复时间、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.001)。两组再出血及感染发生率比较,差异无统计学意义(P>0.05)。结论:钻孔引流术应用于高血压脑出血患者的效果较好,患者神经功能缺损程度轻,手术时间、意识恢复时间及住院时间短,术中出血量少。

Objective:To analyze the effect of drilling and drainage in patients with hypertensive cerebral hemorrhage.Methods:A total of 80 patients with hypertensive cerebral hemorrhage who were admitted to Beijing Shunyi Hospital from February 2020 to June 2022 were selected as the study subjects.They were divided into two groups according to random number table method,with 40 patients in each group.The control group underwent small bone-window craniotomy to remove the hematoma,while the observation group underwent drilling and drainage plus urokinase treatment.The treatment effects of the two groups were compared.Results:At 2 weeks after operation,the scores of neurological deficit in the two groups were lower than those before operation,and the scores in the observation group were lower than those in the control group,with statistically significant differences(P<0.001).The operation time,consciousness recovery time and length of hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood loss in the observation group was less than that in the control group,with statistically significant differences(P<0.001).There was no significant difference in the incidence of rebleeding and infection between the two groups(P>0.05).Conclusion:The use of drilling and drainage has good effects in the patients with hypertensive cerebral hemorrhage,the degree of neurological deficit is mild,the operation time,consciousness recovery time and length of hospital stay are short,and the intraoperative blood loss is low.