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目的探讨颅内血肿微创清除术治疗小量高血压性壳核出血的疗效,为临床治疗小量高血压性壳核出血提供参考。方法选择住院治疗的80例小量高血压性壳核出血患者,根据治疗方法不同分为对照组和观察组各40例。对照组采用常规内科保守治疗,观察组在内科保守治疗的基础上接受颅内血肿微创清除术。分别于治疗后第1天、第1周、第2周及第3周测量2组患者颅内剩余血肿量、血肿周围水肿量并进行神经功能缺损程度评分,并对测量值及评分结果进行比较。治疗后第3周2组患者进行显效率比较。治疗后3个月2组患者进行日常生活能力比较。结果观察组在治疗后第1天、第1周、第2周、第3周颅内剩余血肿量、血肿周围水肿量均明显少于同时期的对照组,2组差异有统计学意义(P<0.01);观察组在治疗后第1天、第1周、第2周、第3周神经功能缺损评分明显小于同时期的对照组,2组差异有统计学意义(P<0.01);观察组治疗后第3周临床疗效显效率高于对照组,2组差异有统计学意义(P<0.05);观察组治疗后3个月日常生活能力评分好于对照组,2组差异有统计学意义(P<0.05)。结论颅内血肿微创清除术治疗小量高血压性壳核出血,能够较快地清除颅内血肿,减轻颅内水肿,改善神经缺损程度,提高患者的生活质量,其疗效优于内科保守治疗,是比较安全、有效的一种治疗方法。
Objective To investigate the curative effect of intracranial hematoma minimally invasive surgery in the treatment of a small amount of hypertensive hypothalamic hemorrhage and provide a reference for the treatment of small amount of hypertensive hypothyroidism. Methods 80 patients with small amount of hypertensive mellitus hemorrhage in hospitalized patients were selected and divided into control group and observation group according to the different treatment methods. The control group received conservative treatment of conventional medicine, the observation group received minimally invasive intracranial hematoma removal on the basis of conservative treatment of internal medicine. The remaining intracranial hematoma volume, perihematoma edema volume and neurological deficit score of the two groups were measured on the first day, the first week, the second week and the third week after treatment, respectively, and the measured value and the scoring result were compared . After 3 weeks of treatment, two groups of patients were significantly higher efficiency. After 3 months of treatment, patients in two groups were compared daily living ability. Results The intracranial hematoma volume and hematoma volume in the observation group on the first day, the first week, the second week and the third week after treatment were significantly less than those in the same period, the difference between the two groups was statistically significant (P <0.01). The score of neurological impairment in the observation group at 1 day, 1 week, 2 weeks and 3 weeks after treatment was significantly less than that of the control group in the same period (P <0.01), and the difference was statistically significant The effective rate of clinical curative effect in the third week after the treatment was higher than that in the control group, with significant difference between the two groups (P <0.05). The scores of daily living ability of the observation group at 3 months after treatment were better than those of the control group Significance (P <0.05). Conclusion minimally invasive removal of intracranial hematoma for the treatment of a small amount of hypertensive capillaries hemorrhage, can quickly clear the intracranial hematoma, reduce intracranial edema, improve the degree of nerve defects and improve the quality of life of patients, its efficacy is better than the conservative treatment of internal medicine , Is a safer and more effective method of treatment.