颅脑钻孔引流术治疗重度颅脑损伤并发高血压脑出血的疗效及对患者神经功能的影响

The effect of craniocerebral drilling and drainage on severe craniocerebral injury complicated with hypertensive intracerebral hemorrhage and its effect on neurological function

目的 :研究颅脑钻孔引流术治疗重度颅脑损伤并发高血压脑出血疗效及对患者神经功能的影响。方法 :选取2015年1月~2016年12月期间在我院接受诊治的200例重度颅脑损伤并发高血压脑出血患者作为研究对象,根据手术方式不同分为对照组90例、研究组110例。对照组患者采用骨瓣开颅血肿清除术治疗,研究组患者采用颅脑钻孔引流术进行治疗,术后给予两组患者1~3个月随访。比较两组患者手术时间、术后住院时间、术后再出血率及手术前后神经功能变化、临床疗效。结果 :研究组手术时间、术后住院时间均低于对照组,差异有统计学意义;研究组术后患者再出血率略低于对照组,但差异无统计学差异;术后1个月两组患者的神经功能NIHSS评分均低于术前,且研究组低于对照组,差异有统计学意义;研究组治疗总有效率91.8%(101/110)高于对照组的77.8%(70/90),差异有统计学意义。结论 :颅脑钻孔引流术治疗重度颅脑损伤并发高血压脑出血疗效显著,手术时间短,能有效减轻机体损伤,改善患者神经功能,促进患者康复。

Objective To study the effect of craniocerebral drilling and drainage in the treatment of severe craniocerebral injury complicated with hypertensive intracerebral hemorrhage and its effect on neurological function. Methods 200 cases of patients with severe craniocerebral injury complicated with hypertensive intracerebral hemorrhage who were treated in our hospital from January 2015 to December 2016 were enrolled in this study. According to the different surgical methods, 90 patients were divided into control group and 110 patients in the study group. The patients in the control group were treated with craniotomy and craniotomy. The patients in the study group were treated with craniotomy and drainage. The patients were followed up for 1-3 months. The operative time, postoperative hospital stay, postoperative rebleeding rate and neurological function before and after operation were compared between the two groups. Results The operative time and postoperative hospital stay were lower in the study group than those in the control group. The rate of rebleeding was lower in the study group than in the control group, but there was no significant difference. The neurological function NIHSS score of the two groups was lower than that of the control group at 1 month after operation, and the difference was statistically significant. The total effective rate of the study group was 91.8%(101/110) higher than that of the control group(77.8%, 70/90), the difference was statistically significant. Conclusion Brain drilling and drainage surgery for severe craniocerebral injury complicated by hypertensive intracerebral hemorrhage significantly, short operation time, can effectively reduce the body damage, improve the patient's neurological function, promote patient rehabilitation.