首页> 中文期刊> 《局解手术学杂志》 >微创手术联合置管吸引手术对脑出血患者的治疗效果及生活质量影响

微创手术联合置管吸引手术对脑出血患者的治疗效果及生活质量影响

         

摘要

Objective To analyze the impact and quality of life of minimally invasive surgery combined with catheter attract surgery on patients with cerebral hemorrhage.Methods A total of 90 patients with cerebral hemorrhage in our department from February 2013 to De-cember 2014 were randomly divided into invasive group and the control group.Minimally invasive surgery group were given to cerebral hemor-rhage minimally invasive surgery combined with catheter attract surgery,the control group received traditional craniotomy.The postoperative recovery,nerve function scores,quality of life and morbidity between two groups were compared.Results The operation time and edema vol-ume of tissue postoperative 7 days in minimally invasive surgery group was significantly lower than those of the control group.The hematoma clearance rate 1 day after surgery was higher than that of control group,with statistically significant difference(P <0.05).NIHSS scores of two groups were gradually decreased 7 d,15 d,30 d after surgery(P <0.05).NIHSS scores of the minimally invasive surgery group 7 d,15 d, 30 d after surgery were lower than that of control group,with statistically significant difference(P <0.05).The scores of vitality,physiological function,physical function,general health,bodily pain,emotional function,social function,mental health after 6 months of the surgery in the min-imally invasive group was higher than those of control group,with statistically significant difference(P <0.05).The rate of postoperative pulmo-nary infection,electrolyte imbalance,gastrointestinal bleeding in MIS group were lower than those in the control group,with statistically signifi-cant difference(χ2 =5.400 0,4.405 7,4.615 4,P <0.05).Conclusion Minimally invasive surgery combined with catheter attract surgery can improve neurological function and quality of life for patients with intracerebral hemorrhage, and reduce the incidence of complications.%目的:探讨微创手术联合置管吸引手术对脑出血患者的治疗效果及生活质量的影响。方法回顾性分析我科2013年2月至2014年12月收治的90例脑出血患者的临床资料。根据治疗方式分为微创组和对照组,每组45例。微创组予以脑出血微创手术联合置管吸引手术治疗,对照组予以常规传统开颅清除术治疗。对比2组患者术后恢复情况、神经功能(NIHSS)评分、生活质量和并发症发生率。结果微创组患者的手术时间和术后7 d 脑组织周围水肿体积低于对照组,术后1 d 血肿清除率高于对照组,差异具有统计学意义(P <0.05)。2组患者手术后7 d、15 d、30 d 的 NIHSS 评分逐渐下降,差异具有统计学意义(P <0.05),微创组手术后7 d、15 d、30 d 的 NIHSS 评分低于对照组,差异具有统计学意义(P <0.05)。微创组术后6个月的活力、生理职能、生理功能、总体健康、躯体疼痛、情感职能、社会功能、精神健康各项评分高于对照组,差异具有统计学意义(P <0.05)。微创组术后肺部感染、电解质紊乱、消化道出血发生率低于对照组,差异具有统计学意义(χ2=5.4000,4.4057,4.6154,P <0.05)。结论脑出血患者采用微创手术联合置管吸引手术可改善术后神经功能和生活质量,降低并发症发生率。

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