微创穿刺引流联合开颅血肿清除术对高血压脑出血并发脑疝患者预后的影响

Effect of minimally invasive puncture drainage combined with craniotomy hematoma removal on prognosis of patients with hypertensive intracerebral hemorrhage complicated with cerebral palsy

目的在临床上,研究对高血压脑出血并发脑疝患者采取微创穿刺引流联合开颅血肿清除术后,对患者预后的影响。方法选取本院高血压脑出血并发脑疝患者100例,选取时间为2017年8月至2018年10月,随机分成对照组和观察组,各50例,对照组采取常规开颅血肿清除术或者(去)去骨瓣减压术,观察组采取微创穿刺引流联合开颅血肿清除术,记录并对比两组患者的生活质量情况和预后情况。结果经过治疗之后,观察组患者的术后6个月的生活质量明显有所改善,而预后情形也有显著改善,和对照组相比有统计学差异(P<0.05)。结论微创穿刺引流联合开颅血肿清除术治疗高血压脑出血合并脑疝,可有效提高患者的生存质量,改善患者的预后。

Objective To study the effect of minimally invasive puncture drainage combined with craniotomy hematoma evacuation on patients with hypertensive cerebral hemorrhage complicated with cerebral palsy.Methods 100 patients with hypertensive cerebral hemorrhage complicated with cerebral palsy were selected from August 2017 to October 2018.They were randomly divided into control group and observation group,50 cases in each group.The control group was treated with conventional craniotomy.In the observation group,minimally invasive puncture drainage combined with craniotomy hematoma evacuation was performed.The quality of life and prognosis of the two groups were recorded and compared.Results After treatment,the quality of life of the observation group was significantly improved after 6 months,and the prognosis was significantly improved,compared with the control group(P<0.05).Conclusion Minimally invasive puncture drainage combined with craniotomy hematoma evacuation for hypertensive cerebral hemorrhage complicated with cerebral palsy can effectively improve the quality of life of patients and improve the prognosis of patients.