CT定位下微创穿刺治疗高血压基底节区脑出血的短期效果.doc

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1、CT定位下微创穿刺治疗高血压基底节区脑出血的短期效果［摘要］冃的探讨CT定位下微创穿刺治疗高血压基底节区脑出血的短期效果。方法抽取2014年9月〜2016年9月在我院接受治疗的84例高血压基底节区脑出血患者，采用随机数字表法将其分为对照组和治疗组，每组42例。对照组采用常规开颅血肿清除术进行治疗，治疗组采用CT定位下微创穿刺技术进彳亍治疗。比较两组患者的操作时间、意识恢复时间、住院总时间、手术总有效率、手术前后脑神经缺损程度评分改善幅度、不良反应。结果治疗组操作时间、意识恢复时间、住院总时间短于对照组，差异有统计学意义（PV0.05）；治疗组手术总有效率为88.1%,高于对照组

2、的61.9%,组间差异有统计学意义（PV0.05）；治疗组脑神经缺损程度评分的改善幅度大于对照组，差异有统计学意义（P<0.05）；治疗组的不良反应发生率为4.8%,低于对照组的23.8%,差异有统计学意义（PV0.05）。结论高血压基底节区脑出血疾病患者采用CT定位下微创穿刺技术进行治疗，能减轻手术创伤，使恢复速度加快，减少不良反应。［关键词］高血压;脑出血；基底节区；CT定位；微创；穿刺［中图分类号］R743.34［文献标识码］A［文章编号］1674-4721（2017）04（c）・0041-03［AbstractJObjectiveToinvestigatetheshor

3、t-termeffectofminimallyinvasivepuncturetreatinghypertensivebasalgangliahemorrhageunderCT.Methods84patientswithhypertensivebasalgangliahemorrhagetreatedinourhospitalfromSeptember2014toSeptember2016wereselectedandrandomlydividedintocontrolgroupandtreatmentgroupbyarandomdigitaltable,with42cases

4、ineachgroup.Thecontrolgroupwastreatedwithroutinecraniotomyhematomaremoval,whilethetreatmentgroupwastreatedwithminimallyinvasivepunctureunderCT.Theoperationtime,recoverytime,totalhospitalstay,totaleffectiverates,degreesofimprovementofcerebralnervedefectscoresbeforeandafteroperation,adverserea

5、ctionswerecomparedbetweenthetwogroups.ResultsTheoperationtime,recoverytime,totalhospitalstayinthetreatmentgroupwereshorterthanthoseinthecontrolgroup,withsignificantdifferences(P<0.05)・Thetotaleffectiverateofoperationinthetreatmentgroupwasupto88.1%,whichwashigherthanthatof61.9%inthecontrolgro

6、upwithasignificantdifference(P<0.05)・Thedegreeofimprovementofcerebralnervedefectscoresbeforeandafteroperationinthetreatmentwashigherthanthatinthecontrolgroupwithasignificantdifference(P<0.05)・Theincideneerateofadversereactionsofthetreatmentgroup(4.8%)duringtheoperationwaslowerthanthatintheco

7、ntrolgroup(23.8%),withasignificantdifference(P<0.05).ConclusionMinimallyinvasivepuncturetreatinghypertensivebasalgangliahemorrhageunderCTcanreducetheoperationtrauma,acceleratetherecoveryandreducetheadversereactions.CTlocalization；Minimallyinvasive；