经改良微创血肿抽吸术在脑出血治疗中的应用.doc

精品论文 参考文献 经改良微创血肿抽吸术在脑出血治疗中的应用 长沙市中心医院 湖南长沙 410004 【摘 要】目的 探讨改良微创血肿抽吸术在脑出血中的应用效果。方法 将我院2013年3月~2015年5月收治的120例脑出血患者随机分成3组，每组40例。A组给予保守内科治疗，B组给予常规微创血肿抽吸术，C组给予改良微创血肿抽吸术。比较3组治疗效果。结果 C组手术时间、首次血肿抽吸量均明显低于B组（Plt;0.01）；C组再出血率为0%，明显低于A组（Plt;0.01）。3组患者治疗后3个月、6个月NIHSS评分均有明显下降，但B组、C组下降幅度明显大于A组，C组明显大于B组（Plt;0.01）。3组患者治疗后3个月、6个月ADL评分均有明显上升，但B组、C组上升幅度明显大于A组，C组明显大于B组（Plt;0.01）。结论 在脑出血的治疗上，微创血肿抽吸术可有效改善患者神经功能缺损状况，提高患者的日常生活能力；改良微创血肿抽吸术相对于传统微创血肿抽吸术可有效节约手术时间，降低再出血率，改善患者预后。 【关键词】微创；血肿抽吸术；脑出血 [Abstract] Objective To investigate the application results of improved minimally invasive hematoma aspiration in the treatment of cerebral hemorrhage. Methods 120 cases of cerebral hemorrhage admitted to our hospital between March 2013 ~ May 2015 were selected，were randomly divided into 3 groups，40 cases in each group. Group A was given the conservative medical treatment，group B was given routine minimally invasive hematoma aspiration surgery，group C was given improved minimally invasive hematoma aspiration surgery. Therapeutic effect of the three groups was compared. Results operation time，the first hematoma aspiration of Group C were significantly lower than group B（Plt;0.01）；Rebleeding rate of group C was 0%，significantly lower than in group A（Plt;0.01）. NIHSS scores after treatment，three months，six months of 3 groups of patients were significantly decreased，but the decline of group B，group C was significantly greater than in group A，group C was significantly higher than group B（Plt;0.01）. ADL scores after treatment，three months，six months of 3 groups of patients were significantly increased，but group B，group C rised significantly greater than in group A，group C was significantly higher than group B（Plt;0.01）. Conclusion On cerebral hemorrhage，minimally invasive hematoma aspiration can improve neurological deficit condition of the patient，improve the patients ability to daily life；Improved minimally invasive hematoma aspiration compared to traditional invasive hematoma aspiration surgery can