超早期微创穿刺引流术治疗基底节区脑出血的疗效观察.docVIP

精品论文 参考文献 超早期微创穿刺引流术治疗基底节区脑出血的疗效观察 韦光宇 覃小武 韦东 覃加露（柳江县人民医院 广西柳州 545100） 　　【摘要】目的 讨论研究对基底区脑出血患者使用超早期微创穿刺引流术的临床意义与影响。方法 随机选取我院脑外科基底区脑出血100例患者随机分组为A、B组。对A组患者进行药物保守治疗；B组患者在A组基础上联合进行超早期微创穿刺引流术治疗。对两组患者日常生活能力、神经功能恢复能力以及治疗总有效率等指标进行比较。 结果 不同方式治疗后神经功能恢复人数比较显示超早期微创穿刺引流术患者其神经功能恢复显著优于保守治疗患者（P＜0.05）。生超早期微创引流术患者生活能力改善情况显著优于保守治疗（P＜0.05） 结论 临床对基底区脑出血患者进行超早期微创穿刺引流术能够最大程度的将血肿融碎并使用穿刺针将其引流出脑外，有效清除血肿。直接减轻压迫损伤，短时间内使受损神经元得到修复。在较短时间内恢复患者神经功能及生活能力，能够显著提高疾病治疗效率，促进预后。 　　【关键词】基底区 脑出血 超早期微创穿刺引流术 临床疗效与影响 　　【中图分类号】R743.34 【文献标识码】A 【文章编号】1672-5085（2014）15-0099-01 　　Clinical Effect Observation of Ultra-Early Minimally Invasive Drainage (UEMID) for Treatment of Basal Ganglia Hemorrhage (BGH) 　　【Abstract】 Objective: To discuss and study the clinical significance and impact of UEMID for treatment of BGH. Method: 100 patients with BGH were randomly chosen and divided into A and B group. A group was given medication conservative treatment while B group was given UEMID. Activity of daily living (ADL), neural functional recovery ability and total treatment effective rate of the 2 groups were compared. Result: After treatment, neural functional recovery ability of B group was obviously higher than A group (Plt;0.05); ADL of B group was obviously higher than A group (Plt;0.05). Conclusion: UEMID for treatment of BGH can melt hematoma and drain it through puncture needle and eliminate hematoma effectively at the greatest extent. It can directly relieve oppression and injury, and restore nerve cell in a short time. It can help patients recover their neurological function and living ability quickly and improve clinical effective rate obviously and promote prognosis. 　　【Keywords】 Basal Ganglia Cerebral Hemorrhage UEMID Clinical Effect and Impact 　　脑出血发病主要是由于高血压合并小动脉硬化或动脉瘤及动静脉血管畸形破裂导致[1]。相关研究显示，血肿的分解物质对脑组织周围具有明显的毒性作用且该作用可在发病后数小时内产生并逐渐加重。一般来说患者发病3天后即可发现周围脑组织呈海绵状变性坏死，出血等改变，脑功能发生损伤后恢复十分困难且并发症预后较差。近年来微创穿刺引流术由于其操作简便，安全性高，术后并发症少等优势已被广泛推广使用。本实验为研究超早期微创