立体定向软通道穿刺引流治疗高血压脑出血的的疗效观察.docVIP

立体定向软通道穿刺引流治疗高血压脑出血的的疗效观察 　　摘 要 目的：?^察立体定向软通道穿刺引流治疗高血压脑出血的临床效果。方法：选择2014年1月―2015年1月收治的高血压脑出血患者40例，随机分为对照组20例，采用小骨窗血肿清除术治疗；观察组25例，采用立体定向软通道穿刺引流术治疗；比较两组临床疗效、Barthel指数和美国国立卫生研究院卒中量表（National Institute of Health stroke scale，NIHSS）评分。结果：入院时，两组Barthel指数和NIHSS评分差异无统计学意义（P0.05）。术后6个月，观察组的NIHSS评分下降为（12.08±3.11）分，Barthel指数上升为（55.98±9.13）分，对照组则分别为（16.65±4.27）分和（47.35±8.12）分，组间差异有统计学意义（P0.05）。观察组的治疗总有效率为95.0%（19/25），对照组为75.0%（15/25），组间差异有统计学意义（P0.05）。结论：对高血压脑出血患者采用立体定向软通道穿刺引流治疗，可以提高治疗效果，减轻神经功能缺损，改善预后。 　　关键词 脑出血；高血压；穿刺引流术；立体定向软通道 　　中图分类号：R651.1+5 文献标志码：A 文章编号：1006-1533（2017）08-0021-02 　　Observation on the effect of stereotactic soft channel drainage in the treatment of hypertensive cerebral hemorrhage 　　ZHONG Libo1， Ao Liang1， AI Zhiguo2（1.Department of Neurosurgery of Second Hospital of Xinyu， Xiyu 338000， Jiangxi Province， China； 2.Department of Neurosurgery of 　　Traditional Chinese Medicine Hospital of Xiyu， Xiyu 338000， Jiangxi Province， China） 　　ABSTRACT Objective： To observe the clinical effect of stereotactic soft channel puncture drainage in the treatment of hypertensive cerebral hemorrhage. Methods： Forty cases of hypertensive cerebral hemorrhage treated in the hospital from January 2014 to January 2015 were selected and randomly divided into a control group with 20 cases who was treated by small bone window hematoma and an observation group with 25 cases who was given puncture and drainage of stereotactic soft channel. The clinical efficacy， Barthel index and the scores of National Institutes of Health Stroke Scale （NIHSS） were compared between the two groups. Results： At admission， there was no significant difference in Barthel index and NIHSS scores between the two groups（P0.05）. After 6 months of operation， the NIHSS score of the observation group decreased （12.08±3.11） points and the Barthel index increased to （55.98±9.13） points， the NIHSS score and Barthel index of the control group were （16.65±4.27） points and （47.35±8.12） points and the difference betw