首页|CT引导下软通道穿刺置管与开颅清除术在高血压脑出血中的应用及神经功能的影响

CT引导下软通道穿刺置管与开颅清除术在高血压脑出血中的应用及神经功能的影响

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目的:探究 CT 引导下软通道穿刺置管与开颅清除术在高血压脑出血中的应用及对神经功能的影响.方法:选取2019年 1 月-2022年12 月在本院进行治疗的高血压脑出血患者82 例并进行回顾性分析,根据手术方法不同对患者进行分组,将进行开颅清除术的 36 例患者作为对照组,进行CT引导下软通道穿刺置管术的 46 例患者作为观察组.比较患者的神经功能、临床指标及并发症情况.结果:术前,两组美国国立卫生研究院卒中量表(NIHSS)评分比较,从统计学角度分析,差异无意义(P>0.05);术后,两组患者NIHSS评分均下降,且所得数据同对照组相比,观察组较低,从统计学角度分析,差异有意义(P<0.05);所得数据同对照组相比,观察组各临床指标均较低,从统计学角度分析,差异有意义(P<0.05);观察组并发症总发生率为 2.17%,低于对照组的 13.89%,从统计学角度分析,差异有意义(P<0.05).结论:CT 引导下软通道穿刺置管术治疗高血压脑出血患者能显著恢复神经功能,使临床指标显著好转,优于开颅清除术,更具推广价值.
Application of CT-guided soft channel catheterization and craniotomy in hypertensive intracerebral hemorrhage and its influence on nerve function
Objective:To investigate the application of CT-guided soft channel catheterization and craniotomy in hypertensive intracerebral hemorrhage and its effect on nerve function.Methods:A retrospective analysis was performed on 82 patients with hypertensive cerebral hemorrhage treated in our hospital from January 2019 to December 2022.The patients were grouped according to different surgical methods.36 patients who underwent craniotomy were taken as the control group,and 46 patients who underwent CT-guided soft channel puncture catheterization were taken as the observation group.The neurological function,clinical indexes and complications of the patients were compared.Results:Before surgery,the National Institutes of Health Stroke Scale(NIHSS)score of the two groups was compared,and there was no significant difference from a statistical point of view(P>0.05).After surgery,the NIHSS score of both groups decreased,and the data obtained in the observation group was lower than that in the control group,which was statistically significant(P<0.05).Compared with the control group,all clinical indexes in the observation group were lower,and the difference was significant from the statistical point of view(P<0.05).The total incidence of complications in the observation group was 2.17%,lower than 13.89%in the control group,and the difference was statistically significant(P<0.05).Conclusion:CT-guided soft channel catheterization in the treatment of hypertensive intracerebral hemorrhage can significantly restore nerve function and improve clinical indicators,which is better than craniotomy and has more promotion value.

CT guidanceSoft channel puncture catheterCraniotomyHypertensive cerebral hemorrhageNeural function

吴明华、何安慰、涂海豹

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进贤县人民医院,江西 南昌 331700

CT引导 软通道穿刺置管 开颅清除术 高血压脑出血 神经功能

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(1)
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