【摘要】 目的探索软通道血肿腔置管引流联合侧脑室颅内压监测治疗基底节高血压脑出血的临床效果。方法选取2017年6月21日～2018年12月21日河源市人民医院神经外科的80例基底节高血压脑出血患者作为研究对象,采用奇偶数分组模式,将其分为观察组和对照组(各40例)。观察组患者采用软通道血肿腔置管引流联合侧脑室颅内压监测治疗,对照组患者采用软通道血肿腔置管引流治疗。随后比较两组置管引流时间、住院时间、术后1 d血肿排空率、术后3 d血肿排空率、格拉斯哥昏迷指数(GCS)评分、并发症总发生率。结果观察组的置管引流时间、住院时间短于对照组,差异有统计学意义(P<0.05);观察组的术后1 d血肿排空率低于对照组,差异有统计学意义(P<0.05);观察组的术后3 d血肿排空率、治疗后3、7 d的GCS评分高于对照组,差异有统计学意义(P<0.05);观察组的并发症总发生率(2.50%)低于对照组(32.50%),差异有统计学意义(P<0.05)。结论对基底节高血压脑出血患者实施软通道血肿腔置管引流联合侧脑室颅内压监测治疗,效果显著。更多还原

【Abstract】 Objective To explore the effect of soft channel hematoma drainage combined with lateral ventricle intracranial pressure monitoring in the treatment of basal ganglia hypertensive cerebral hemorrhage. Methods Eighty patients with basal ganglia hypertensive cerebral hemorrhage in the Department of Neurosurgery, Heyuan People′s Hospital from June 21, 2017 to December 21, 2018 were selected as the study subjects. According to the odd or even number, they were divided into the observation group and the control group(40 cases each). Patients in the observation group were treated with softchannel hematoma lumen drainage combined with lateral ventricle intracranial pressure monitoring. Patients in the control group were treated with softchannel hematoma lumen drainage. Subsequently, the drainage time,hospitalization time, hematoma emptying rate on 1 and 3 days after operation, Glasgow coma scale(GCS) score, and total complication rate were compared between the two groups. Results The catheter drainage time and hospitalization time in the observation group were shorter than those in the control group with statistically significances(P<0.05). The one-day postoperative hematoma emptying rate was lower than that in the control group, the difference was statistically significant(P<0.05). The three-day postoperative hematoma emptying rate, the three-day and seven-day GCS scores after treatment in the observation group were higher than those in the control group, the differences were statistically significant(P<0.05). The total complication rate in the observation group(2.50%) was lower than that in the control group(32.50%), the difference was statistically significant(P<0.05). Conclusion The effect of softchannel hematoma lumen drainage combined with lateral ventricle intracranial pressure monitoring in patients with basal ganglia hypertensive cerebral hemorrhage is significant.更多还原