保守与微创穿刺治疗基底节脑出血疗效及安全性探讨.docVIP

保守与微创穿刺治疗基底节脑出血的疗效及安全性探讨 　　[摘要] 目的 比较保守与微创穿刺治疗基底节脑出血疗效及安全性。 方法 选择该院2012年3月―2014年9月收治93例基底节脑出血患者作为研究对象，随机分为两组。对照组采取保守治疗，观察组对照组基础上采行微创穿刺治疗，比较两组治疗有效率、死亡率及治疗前后生活质量。结果 观察组治疗有效率为91.5%，高于对照组，差异有统计学意义（P0.05），经治疗后观察组BI指数高于对照组，差异有统计学意义（P0.05）。 结论 微创穿刺治疗基底节区脑出血操作简便，可大幅降低死亡率，安全性高，患者术后生活质量获得提高，疗效显著，值得推广应用。 　　[关键词] 保守治疗；微创穿刺；基底节脑出血 　　[中图分类号] R71 [文献标识码] A [文章编号] 1674-0742（2015）06（c）-0019-02 　　[Abstract] Objective To compare the curative effect and safety of conservative and minimally invasive puncture in the treatment of cerebral hemorrhage in basal ganglia. Methods 93 cases of patients with cerebral hemorrhage in basal ganglia admitted into our hospital from March 2012 to September 2014 were selected as the research object and randomly divided into two groups. The control group received the conservative treatment while the observation group adopted minimally invasive puncture treatment based on the control group. The effective rate of treatment and mortality and life quality before and after the treatment of two groups were compared. Results The effective rate of treatment of observation group was 91.5% which was higher than that of the control group and the difference was statistically significant （P 0.05）. After the treatment， the BI index of the observation group was higher than that of the control group and the difference was statistically significant （P 0.05）. Conclusion The minimally invasive puncture on the treatment of cerebral hemorrhage in basal ganglia is easy to operate and can greatly reduce the mortality. With high safety， it improves the quality of patients’ life after operation and the postoperative effect is significant. It’s worthy of promotion and application. 　　[Key words] Conservative treatment； Minimally invasive puncture； Cerebral hemorrhage in basal ganglia 　　基底节区脑出血为临床神经科常见疾病，患者多有高血压史，以壳核、丘脑、内外囊为主要发病部位，患者可产生偏盲、对侧偏瘫及偏身感觉缺失等典型体征[1]。基底节区脑出血占位效应明显，其会导致颅内压增高及脑水肿，致死率较高，存活者也易出现不同程度后遗症。及时清除血肿并降低颅内压可有效减轻水肿引发继发性损害，对脑组织功能恢复意义重大[2]，同时也可大幅降低恢复期致残率及病死率。该研究以该院