锥颅穿刺术与开颅手术在脑出血治疗中的对比分析(1)
[摘要] 目的 探讨锥颅穿刺术与开颅手术在脑出血治疗中的临床疗效。 方法 选取我院2013年5月～2014年4月接收治疗的脑出血患者120例，随机分为对照组和观察组，每组各60例。观察组患者采用锥颅穿刺抽吸引流血肿进行治疗，对照组患者采用传统小骨窗开颅血肿清除手术进行治疗，通过相关实验数据，观察分析两组患者的临床疗效、血肿情况、Barthel指数评分和术后近期格拉斯哥预后评分。 结果 观察组患者的住院时间、手术时间以及拔管时间显著少于对照组患者，差异具有统计学意义(P<0.05)。观察组患者的总有效率显著高于对照组患者，差异具有统计学意义(P<0.05)。观察组患者的近期格拉斯哥预后评分显著优于对照组患者，差异具有统计学意义(P<0.05)。对照组患者的重度昏迷和死亡例数显著高于观察组患者，差异具有统计学意义(P<0.05)。观察组患者的Barthel指数远期预后评分显著优于对照组患者，差异具有统计学意义(P<0.05)。 结论 对于脑出血患者的治疗，采用锥颅穿刺抽吸引流血肿进行治疗，操作简便、手术时间短，后期的不良反应少，患者的恢复速度也较快，可以显著增强脑出血患者的短期及远期临床疗效，可防止血肿扩大，具有重要的临床意义，可以大力推广。
[关键词] 脑出血；锥颅穿刺术；开颅手术
[中图分类号] R651.1 [文献标识码] B [文章编号] 1673-9701(2015)31-0026-04
Comparative analysis of skull puncture and craniotomy in the treatment of cerebral hemorrhage
ZENG Ruiliang LIU Manchang LIU Bin
Department of Neurosurgery， Ruijin City People's Hospital in Jiangxi Province， Ruijin 342500， China
[Abstract] Objective To investigate the clinical efficacy of skull puncture and craniotomy in the treatment of cerebral hemorrhage. Methods A total of 120 cases of patients with cerebral hemorrhage in our hospital from May 2013 to April 2014 were chosen and randomly divided into the control group and the observation group， each group with 60 patients. The observation group received skull hematoma aspiration drainage treatment， and the control group received traditional small bone window hematoma evacuation surgery treatment. Through relevant experimental data， the clinical efficacy， hematoma， Barthel index ratings and recent Glasgow prognosis score after surgery of patients in the two groups were observed and analyzed. Results The length of stay in hospital， surgical time and extubation time of patients in the observation group were significantly shorter than those in the control group， and the differences were statistically significant(P<0.05). The total efficiency in the observation group was significantly higher than that in the control group， and the difference was statistically significant(P<0.05). The recent Glasgow prognosis score of patients in the observation group was significantly better than that in the control group， and the difference was statistically significant(P<0.05). The control group had significantly higher number of patients with severe coma and death than the observation group， and the difference was statistically significant(P<0.05). The long-term prognosis score Barthel index in the observation group was significantly better than that in the control group， and the difference was statistically significant(P<0.05). Conclusion For the treatment of patients with cerebral hemorrhage， skull hematoma aspiration drainage treatment has easy operation， shorter operation time， and less adverse reactions in later period and faster recovery speed of patients. It can significantly enhance short-term and long-term clinical efficacy of patients with cerebral hemorrhage， can prevent hematoma enlargement， and has significant clinical value. So， it can be vigorously promoted., http://www.100md.com(曾瑞亮 刘满昌 刘斌)
[关键词] 脑出血；锥颅穿刺术；开颅手术
[中图分类号] R651.1 [文献标识码] B [文章编号] 1673-9701(2015)31-0026-04
Comparative analysis of skull puncture and craniotomy in the treatment of cerebral hemorrhage
ZENG Ruiliang LIU Manchang LIU Bin
Department of Neurosurgery， Ruijin City People's Hospital in Jiangxi Province， Ruijin 342500， China
[Abstract] Objective To investigate the clinical efficacy of skull puncture and craniotomy in the treatment of cerebral hemorrhage. Methods A total of 120 cases of patients with cerebral hemorrhage in our hospital from May 2013 to April 2014 were chosen and randomly divided into the control group and the observation group， each group with 60 patients. The observation group received skull hematoma aspiration drainage treatment， and the control group received traditional small bone window hematoma evacuation surgery treatment. Through relevant experimental data， the clinical efficacy， hematoma， Barthel index ratings and recent Glasgow prognosis score after surgery of patients in the two groups were observed and analyzed. Results The length of stay in hospital， surgical time and extubation time of patients in the observation group were significantly shorter than those in the control group， and the differences were statistically significant(P<0.05). The total efficiency in the observation group was significantly higher than that in the control group， and the difference was statistically significant(P<0.05). The recent Glasgow prognosis score of patients in the observation group was significantly better than that in the control group， and the difference was statistically significant(P<0.05). The control group had significantly higher number of patients with severe coma and death than the observation group， and the difference was statistically significant(P<0.05). The long-term prognosis score Barthel index in the observation group was significantly better than that in the control group， and the difference was statistically significant(P<0.05). Conclusion For the treatment of patients with cerebral hemorrhage， skull hematoma aspiration drainage treatment has easy operation， shorter operation time， and less adverse reactions in later period and faster recovery speed of patients. It can significantly enhance short-term and long-term clinical efficacy of patients with cerebral hemorrhage， can prevent hematoma enlargement， and has significant clinical value. So， it can be vigorously promoted., http://www.100md.com(曾瑞亮 刘满昌 刘斌)