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目的:比较分析脑出血微创穿刺引流术与内科保守治疗两种方法治疗基底核区中等量自发性脑出血的临床疗效。方法:基底核区中等量自发性脑出血患者50例,按患者或家属意愿分为微创组31例和保守组19例,分别给予微创穿刺引流术和内科保守治疗。比较2组患者治疗1周后的Glasgow昏迷评分(GCS)和血肿体积变化、并发症发生率、死亡率、住院天数及3个月后日常生活能力(ADL)评分。结果:与保守组相比,微创组患者入院1周后GCS评分明显升高,血肿体积明显减少,住院天数明显缩短(P<0.05);再出血发生率、住院期间死亡率、3个月后ADL评分2组之间差异无统计学意义。结论:微创穿刺引流术能显著改善基底核中等量自发性脑出血患者的意识障碍,明显减小血肿体积。
Objective: To compare the clinical efficacy of minimally invasive puncture and drainage with conservative treatment of cerebral hemorrhage in the treatment of middle cerebral hemorrhage in the basal ganglia. Methods: Fifty patients with moderate spontaneous cerebral hemorrhage in the basal ganglia area were divided into minimally invasive group (n = 31) and conservative group (n = 19) according to the wishes of their patients or their families. Minimally invasive puncture and drainage and conservative medical treatment were given respectively. The Glasgow Coma Scale (GCS) and hematoma volume changes, complication rates, mortality, length of stay, and ADL scores at 1 month after treatment were compared between the two groups. Results: Compared with the conservative group, the GCS score significantly increased and the volume of hematoma decreased obviously (P <0.05). The incidence of rebleeding, in-hospital mortality, 3 months After ADL score between the two groups, the difference was not statistically significant. Conclusion: Minimally invasive puncture and drainage can significantly improve the disturbance of consciousness in patients with moderate cerebral hemorrhage in the basal ganglia, and significantly reduce the volume of hematoma.