微创血肿穿刺术和传统开颅清除术治疗老年脑出血优劣分析.docVIP

微创血肿穿刺术和传统开颅清除术治疗老年脑出血优劣分析 　　[摘要]目的 探究分析微创血肿穿刺术和传统开颅清除术治疗老年脑出血的优劣。方法 选取2011年6月～2016年3月在我院接受治疗的老年脑出血患者124例作为研究对象，按随机数字表法分为观察组和对照组各62例。观察组患者选择微创血肿穿刺术进行治疗，对照组患者选择传统开颅清除术进行治疗，观察记录两组患者的相关临床指标数据，包括两组患者的术中出血量、手术时长、脑内血肿清除率、?g后入住ICU时间、美国国立卫生研究院卒中量表（NIHSS）评分、格拉斯哥预后评分（GOS）评分和SF-36生活质量问卷评分。结果 比较两组患者的术中出血量、手术时间、术后入住ICU时间、血肿清除率、SF-36评分等各项指标，观察组均显著优于对照组，差异有统计学意义（P0.05）；比较两组患者的NIHSS评分、GOS评分良好率和死亡率，观察组明显较对照组要优，差异有统计学意义（P0.05）。结论 与传统开颅清除术比较，采用微创血肿穿刺术治疗老年脑出血可获得更显著的疗效，可有效提升患者的血肿清除率，减少术中出血量、缩短手术时间、降低患者死亡率等方面都表现出明显优势，可在临床推广应用。 　　[关键词]微创血肿穿刺术；传统开颅清除术；脑出血 　　[中图分类号] R651.1 [文献标识码] A [文章编号] 1674-4721（2017）11（a）-0055-03 　　Analysis of the advantages and disadvantages of minimally invasive hematoma puncture and traditional craniotomy in the treatment of senile cerebral hemorrhage 　　LI Huan-liang HOU Xiao-bin 　　Department of Neurosurglogy，Zengcheng District People′s Hospital of Guangzhou City Affiliated Boji Hospital of Sun Yat-sen University，Guangdong Province，Guangzhou 511300，China 　　[Abstract]Objective To explore and analyze the advantages and disadvantages of minimally invasive hematoma puncture and traditional craniotomy in the treatment of senile cerebral hemorrhage.Methods From June 2011 to March 2016，124 senile patients with cerebral hemorrhage treated in our hospital were selected as research objects.According to a random number table，they were evenly divided into the observation group and the control group，62 cases in each group.In the observation group，minimally invasive hematoma puncture for the treatment was selected，while in the control group，traditional craniotomy was applied.The related clinical indicators including intraoperative amount of bleeding，operationtime，intracerebral hematoma clearance，ICU time after surgery，the score of National Institutes of Health Stroke Scale （NIHSS），GOS score，and the score of SF-36 living quality questionnaire were observed and recorded.Results The indicators of intraoperative amount of bleeding，operationtime，ICU time after surgery，hematoma