王杰

【摘要】 目的：探討高血壓腦出血患者應(yīng)用微創(chuàng)下置管抽吸液化引流手術(shù)的效果及對(duì)神經(jīng)功能的影響。方法：將2017年3月-2019年5月筆者所在醫(yī)院收治的108例高血壓腦出血患者作為研究對(duì)象，按照隨機(jī)法將其分為對(duì)照組（54例）和觀察組（54例）。對(duì)照組采用保守治療，觀察組采用微創(chuàng)下置管抽吸液化引流手術(shù)治療，比較兩組患者治療效果及神經(jīng)功能。結(jié)果：治療后，對(duì)照組神經(jīng)功能損傷評(píng)分明顯高于觀察組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。對(duì)照組臨床治療總有效率為72.22%，明顯低于觀察組的94.44%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：通過(guò)對(duì)高血壓腦出血患者予以微創(chuàng)下置管抽吸液化引流手術(shù)治療，能夠提高治療效果，改善患者神經(jīng)功能，有利于患者預(yù)后，臨床應(yīng)用及推廣價(jià)值極高。

【關(guān)鍵詞】 高血壓腦出血 微創(chuàng)置管 抽吸液化引流手術(shù) 臨床效果 神經(jīng)功能

doi：10.14033/j.cnki.cfmr.2020.02.054 文獻(xiàn)標(biāo)識(shí)碼 B 文章編號(hào) 1674-6805（2020）02-0-02

[Abstract] Objective： To investigate the effect of minimally invasive catheterization aspiration liquefaction drainage operation on neurological function in patients with hypertensive intracerebral hemorrhage. Method： From March 2017 to May 2019， 108 patients with hypertensive intracerebral hemorrhage admitted in our hospital were selected as research objects and randomly divided into the control group （54 cases） and the observation group （54 cases）. The control group received conservative treatment， while the observation group was treated with minimally invasive catheterization aspiration liquefaction drainage operation. The therapeutic effect and neurological function of the two groups were compared. Result： After treatment， the score of neurological function injury in the control group was significantly higher than that in the observation group， the difference was statistically significant （P<0.05）. The total effective rate of clinical treatment of the control group was 72.22%， which was significantly lower than 94.44% of the observation group， the difference was statistically significant （P<0.05）. Conclusion： Minimally invasive catheterization aspiration liquefaction drainage operation for patients with hypertensive intracerebral hemorrhage can improve the therapeutic effect， improve the patients neurological function， and is beneficial to the prognosis of patients. It is of high clinical application and promotion value.

[Key words] Hypertensive intracerebral hemorrhage Minimally invasive catheterization Aspiration liquefaction drainage operation Clinical effect Neurological function

First-authors address： Huangshi Second Hospital， Huangshi 435000， China

腦血出在臨床上屬于一種較為常見(jiàn)的神經(jīng)科疾病，該病通常是由于非創(chuàng)傷性腦實(shí)質(zhì)內(nèi)血管破裂所致，且具有發(fā)病突然、病情變化快及致死率高等特點(diǎn)，倘若得不到及時(shí)有效的治療，極易導(dǎo)致腦血腫等并發(fā)癥，加重了腦組織水腫，以至于使腦功能發(fā)生發(fā)不可逆損害[1]。因此，怎樣才能降低顱內(nèi)壓、恢復(fù)神經(jīng)功能等成為治療疾病的提前。吳凱歌等[2]研究發(fā)現(xiàn)，在治療高血壓腦出血患者時(shí)，采用微創(chuàng)下置管抽吸液化引流手術(shù)進(jìn)行治療，能夠起到顯著的治療效果。為了探討行之有效的治療方案，本文以筆者所在醫(yī)院近2年收治的高血壓腦出血患者108例為研究對(duì)象，就不同方案的療效進(jìn)行了探索，以供參考。

1 資料與方法