微创钻孔引流术与开颅血肿清除术治疗高血压脑出血的比较研究

摘要

目的：比较研究微创钻孔引流术与开颅血肿清除术在高血压脑出血患者治疗中的应用效果。方法整群选取2010年5月—2014年8月期间该院所收治的高血压脑出血患者76例。随机将患者分为观察组36例和对照组40例。观察组患者采用微创钻孔引流术。对照组患者采用开颅血肿清除术。分别对两组患者术前、术后颅内血肿量、神经功能缺损评分（NIHSS）以及日常生活活动能力评分（ADL）情况进行比较分析。结果与对照组患者相比，观察组患者术后3 d颅内血肿量（16.27±5.42）mL和5 d颅内血肿量（11.63±3.55）mL均明显降低，术后2周NIHSS评分（1.24±0.75）分明显降低，术后6个月ADL评分（82.63±13.65）分明显提高，差异有统计学意义（P＜0.05）。讨论微创钻孔引流术对患者创伤较小，对患者的预后和生活质量起到进一步的改善作用。%Objective To compare the application effect of treatment to hypertensive cerebral hemorrhage with minimally invasive drilling drainage and hematoma evacuation. Methods 76 inpatients with hypertensive cerebral in our hospital from May 2010 to August 2014 were seclected, and were randomly divided into observation group, 36 cases, and control group, 40 cases. The obser-vation group were treated with minimally invasive drilling and drainage, while the control group with hematoma evacuation. In-tracranial hematoma volume, neurological function defect score (NIHSS) and daily living activity score (ADL) were compared and analyzed respectively for the two groups before surgeryand postoperative. Results Compared with the control group, observation group patients, 3 days after operation, intracranial hematoma volume (16.27 ±5.42) mL and 5 days after operation, intracranial hematoma volume (11.63±3.55) mL, both were significantly lower, NIHSS score 2 weeks after operation (1.24±0.75) was signifi-cantly reduced, ADL score 6 months postoperative (82.63 ±13.65) significantly increased, the differences were statistically signifi-cant (P<0.05). Conclusion Minimally invasive drilling drainage caused less trauma to patients, the prognosis and quality of life played a further improvement.