锥颅穿刺术和开颅手术运用于脑出血治疗中效果分析.docVIP

锥颅穿刺术和开颅手术运用于脑出血治疗中效果分析 　　【摘要】 目的 探究分析临床脑出血外科治疗中锥颅穿刺术和开颅手术的运用效果。方法 58例 　　脑出血手术患者， 随机分为对照组和观察组， 各29例。对照组实施传统开颅手术， 观察组实施锥颅穿刺术， 对比两组患者的各项手术指标以及手术前后的神经功能缺损情况。结果 观察组患者的手术时间为（84.61±1.66）min、术后拔管时间为（2.26±0.44）d、住院时间为（26.83±1.44）d， 均短于对照组的（157.35±1.37）min、（6.56±1.15）d、（38.56±1.37）d， 差异有统计学意义（P0.05）。手术后， 观察组患者美国国立卫生研究院卒中量表（NIHSS）评分为（12.26±0.81）分， 低于对照组的（16.33±0.68）分， 差异有统计学意义（P0.05）。结论 与开颅手术手术相比， 脑出血患者行锥颅穿刺术， 不仅能够有效改善其各项手术指标， 降低手术风险， 更有利于提升其神经功能， 促进疾病康复。 　　【关键词】 脑出血；锥颅穿刺术；开颅手术；治疗 　　DOI：10.14163/j.cnki.11-5547/r.2018.06.003 　　【Abstract】 Objective To investigate and analyze the effect of skull puncture and and craniotomy in the surgical treatment of clinical cerebral hemorrhage. Methods A total of 58 cerebral hemorrhage patients were randomly divided into control group and observation group， with 29 cases in each group. The control group received traditional craniotomy， and the observation group received skull puncture. Comparison were made on surgical indicators and neurological deficits before and after surgery between the two groups. Results The observation group had operation time as （84.61±1.66） min， postoperative extubation time as （2.26±0.44） d and mean hospitalizatio time as （26.83±1.44） d， which were all better than （157.35±1.37） min， （6.56±1.15） d 　　and （38.56±1.37） d in the control group， and their difference was statistically significant （P0.05）. After treatment， the observation group had lower National Institutes of Health Stroke scale （NIHSS） score as （12.26± 　　0.81） points than （16.33±0.68） points in the control group， and the difference was statistically significant （P0.05）. Conclusion Compared with craniotomy， craniotomy can not only effectively improve surgical indicators of cerebral hemorrhage patients， reduce their operative risk， but also can improve neurological function and promote recovery. 　　【Key words】 Cerebral hemorrhage； Skull puncture； Craniotomy； Treatment 　　脑出血又称作脑溢血， 作为合并高血压患者的常见并发症， 具有病情危急、致??率与死亡率较高的临床特征， 不仅会严重影响患者的日常生活能力， 更会对其生命安全产生