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目的 :探讨脑出血微创粉碎术治疗脑出血的疗效。方法 :选择两组病例。微创组 :使用YL - 1型一次性颅内血肿粉碎穿刺针在头颅CT定进行脑出血微创清除术 ;对照组 :给予常规内科保守治疗。观察两者治疗有效率、神经功能缺损评分、血肿消失时间、住院时间及住院费用。结果 :微创组有效率 88.9% ,明显高于对照组 5 2 .1% (P <0 .0 1) ,死亡率 11.1%低于对照组 4 7.9% (P <0 .0 1) ,神经缺损程度评分与治疗前比较有显著性差异 (P <0 .0 1) ,与对照组在不同时期神经功能缺损比较 ,两者有差异性 (P <0 .0 5 ) ;血肿消失时间较对照组短 (P <0 .0 1) ;住院时间及住院费用均球微创组较对照组能明显减轻患者的负担 (P <0 .0 1)。结论 :脑出血微创粉碎术治疗脑出血效果好 ,提高患者生命质量 ,可减轻患者经济负担 ,值得在基层医院推广使用
Objective: To investigate the curative effect of intracerebral hemorrhage minimally invasive surgery for cerebral hemorrhage. Methods: Two groups of patients were selected. Minimally invasive group: YL - 1 type of intracranial hematoma crush puncture needle in the skull CT scheduled for minimally invasive cerebral hemorrhage; control group: given conventional conservative treatment. Observed both the treatment efficiency, neurological deficit score, hematoma disappearance time, hospital stay and hospitalization costs. Results: The effective rate of minimally invasive group was 88.9%, which was significantly higher than that of control group (52.1%, P <0.01), and the mortality rate was 11.1%, lower than that of control group (7.9%, P <0.01) The degree of defect was significantly different from that before treatment (P <0.01). There was significant difference between the two groups in neurological deficit (P <0. 05) (P <0.01). The hospitalization time and hospitalization cost of the minimally invasive group were significantly lower than those of the control group (P <0.01). Conclusion: Cerebral hemorrhage minimally invasive surgery for the treatment of cerebral hemorrhage good effect, improve patient quality of life, reduce the financial burden on patients, it is worth promoting in primary hospitals