摘要
目的高血压脑出血是高血压患者最严重的并发症之一,传统开颅手术对患者的损伤较大,并发症较多,且不利于患者康复。本研究比较软通道微创穿刺引流术及常规开颅手术对高血压脑出血患者神经功能及抑郁状态影响。方法以2018-01-01-2018-12-31在安阳市灯塔医院治疗的高血压脑出血患者为研究对象,将接受软通道微创穿刺引流术的39例患者作为干预组,根据干预组的年龄、性别、出血量同期选择与之相匹配的行常规开颅手术患者39例为对照组。比较两组神经功能和抑郁状态。结果术前干预组和对照组患者美国国立卫生研究院脑卒中量表(National Institutes of health stroke scale,NIHHS)评分分别为(15.8±1.6)和(15.9±1.5)分,差异无统计学意义,t=0.285,P=0.777;抑郁自评量表(self-rating depression scale,SDS)评分分别为(35.4±6.5)和(35.9±6.3)分,差异无统计学意义,t=0.345,P=0.731。术后干预组患者NIHHS评分为(7.4±0.9)分,低于治疗前,且低于对照组的(9.2±1.1)分,差异有统计学意义,t=7.909,P<0.001;SDS评分为(29.3±3.7)分,低于治疗前,且低于对照组的(31.4±4.6)分,差异有统计学意义,t=2.222,P=0.029。结论与常规开颅手术相比,软通道微创穿刺引流术对患者神经功能恢复较为明显,且术后患者抑郁状态较轻。
OBJECTIVE Hypertensive intracerebral hemorrhage is one of the most serious complications of hypertension.The traditional craniotomy is more harmful to patients,more complications,and is not conducive to the recovery of patients.This study is to compare the neurological function and depression status of patients with hypertensive cerebral hemorrhage by soft-channel minimally invasive puncture and drainage and conventional craniotomy.METHODS Patients with hypertensive cerebral hemorrhage treated in Beacon Hospital of Anyang City from January 1,2018 to December 31,2018 were taken as the research subjects.A total of 39 patients who received soft-channel minimally invasive puncture and drainage were selected In the intervention group,39 patients who underwent routine craniotomy were selected as the control group according to the age,sex,and bleeding volume of the intervention group.Neurological function and depression were compared between the two groups.RESULTS Before operation,the National Institutes of Health Stroke Scale(NIHHS)scores of the intervention group and the control group were 15.8±1.6 and 15.9±1.5,respectively,with no significant difference,t=0.285,P=0.777;the self-rating depression scale(SDS)scores were 35.4±6.5 and 35.9±6.3,respectively,the difference was not statistically significant,t=0.345,P=0.731.After operation,NIHHS score of intervention group was 7.4±0.9,lower than that before treatment,and lower than that of control group(9.2±1.1),the difference was statistically significant,t=7.909,P<0.001;SDS score was 29.3±3.7,lower than that before treatment,and lower than that of control group(31.4±4.6),the difference was statistically significant,t=2.222,P=0.029.CONCLUSION Compared with conventional craniotomy,soft-channel minimally invasive puncture and drainage can significantly restore the neurological function of patients,and the postoperative patients have a lighter depression.
作者
陈刚
任瑞明
CHEN Gang;REN Rui-ming(Department of Neurosurgery,Beacon Hospital of Anyang City,Anyang455000,P.R.China;Department of Neurosurgery,Anyang Sixth People's Hospital,Anyang455000,P.R.China)
出处
《社区医学杂志》
2019年第24期1568-1571,共4页
Journal Of Community Medicine
关键词
高血压脑出血
常规开颅手术
软通道微创穿刺引流术
神经功能
抑郁
hypertensive cerebral hemorrhage
routine craniotomy
soft-channel minimally invasive puncture drainage
neurological function
depression
