摘要
目的 分析高血压性脑出血(HICH)应用 3D-slicer辅助定位的临床价值.方法 48 例HICH患者,随机分为观察组和对照组,每组 24 例.观察组患者应用 3D-slicer 辅助定位,对照组应用常规弦距体表定位.比较两组手术指标、美国国立卫生研究院卒中量表(NIHSS)评分、格拉斯哥预后量表(GOS)评分、并发症发生情况、生活质量.结果 观察组住院时间(10.0±0.2)d、血肿消失时间(3.1±0.1)d、手术时间(101.4±3.0)min短于对照组的(13.5±1.2)d、(6.2±0.5)d、(127.4±5.1)min,术中出血量(180.1±2.5)ml少于对照组的(289.6±8.5)ml(P<0.05).治疗后,观察组GOS评分(4.6±0.4)分高于对照组的(3.4±0.5)分,NIHSS评分(8.1±3.6)分低于对照组的(12.0±2.1)分(P<0.05).观察组并发症发生率为 4.2%(1/24),低于对照组的 25.0%(6/24)(P<0.05).治疗后,观察组总体健康、活力、社会功能、精神健康、躯体疼痛、生理职能、情感职能、生理功能评分均高于对照组(P<0.05).结论 HICH患者术中实施 3D-slicer辅助定位可有效改善手术指标,减少并发症,价值较高.
Abstract
Objective To analyze the clinical value of 3D-slicer in surgery for hypertensive intracerebral hemorrhage(HICH).Methods 48 HICH patients were selected and randomly divided into an observation group and a control group,each consisting of 24 patients.Patients in the observation group applied 3D-slicer assisted localization,and those in the control group applied conventional chordal body positioning.The patients in the observation group applied 3D-slicer assisted localization,while those in the control group applied conventional chord distance body surface localization.The surgical indicators,National Institutes of Health Stroke Scale(NIHSS)score,Glasgow Outcome Scale(GOS)score,complications and quality of life were compared between the two groups.Results In the observation group,the length of hospital stay was(10.0±0.2)d,the hematoma disappeared time was(3.1±0.1)d,and the operation time was(101.4±3.0)min,which were shorter than(13.5±1.2)d,(6.2±0.5)d,and(127.4±5.1)min in the control group;the intraoperative blood loss of(180.1±2.5)ml in the observation group was less than(289.6±8.5)ml in the control group(P<0.05).After treatment,the observation group had higher GOS score of(4.6±0.4)points than(3.4±0.5)points in the control group,and lower NIHSS score of(8.1±3.6)points than(12.0±2.1)points in the control group(P<0.05).The complication rate of the observation group was 4.2%(1/24),which was lower than 25.0%(6/24)of the control group(P<0.05).After treatment,the scores of overall health,vitality,social function,mental health,physical pain,role physical,role emotional and physical function of the observation group were higher than those of the control group(P<0.05).Conclusion Implementing 3D slicer as an adjuvant therapy for HICH patients can effectively improve surgical indicators,reduce complications,and has high value.
维普
万方数据