發(fā)布時(shí)間：2018-03-18 16:17

  本文選題：微創(chuàng)穿刺術(shù)　切入點(diǎn)：開顱術(shù)　出處：《臨床醫(yī)藥文獻(xiàn)電子雜志》2016年45期 　論文類型：期刊論文

【摘要】：目的研究對(duì)比微創(chuàng)穿刺與開顱手術(shù)治療腦出血的療效。方法選取我院2014年9月~2015年9月收治的腦出血患者78例作為研究對(duì)象,分對(duì)照組和觀察組。對(duì)照組和觀察組分別采取開顱手術(shù)與微創(chuàng)穿刺術(shù)進(jìn)行治療。對(duì)比兩組患者取得的療效。結(jié)果觀察組治療有效率94.87%高于對(duì)照組76.92%,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組患者的術(shù)中出血量、手術(shù)時(shí)間、住院時(shí)間與創(chuàng)口大小均要少于對(duì)照組,差異無統(tǒng)計(jì)學(xué)意義(P0.05);與治療前相對(duì)比,所有患者神經(jīng)功能評(píng)分均改善,觀察組患者改善效果要優(yōu)于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);同時(shí)觀察組患者術(shù)后并發(fā)癥發(fā)生率要低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論治療臨床治療腦出血,與傳統(tǒng)開顱手術(shù)相對(duì)比,微創(chuàng)穿刺術(shù)療效更高,手術(shù)時(shí)間更短,且術(shù)中患者出血量更少,整體效果要明顯優(yōu)于傳統(tǒng)治療方法,屬于臨床治療腦出血的一種理想方法,具有推廣應(yīng)用的意義。
[Abstract]:Objective to compare the efficacy of minimally invasive puncture and craniotomy in the treatment of intracerebral hemorrhage. Methods 78 patients with intracerebral hemorrhage were selected from September 2014 to September 2015 in our hospital. It was divided into control group and observation group. The control group and observation group were treated by craniotomy and minimally invasive puncture respectively. The curative effect of the two groups was compared. Results the effective rate of treatment in the observation group was 94.87% higher than that in the control group 76.92, the difference was statistically significant. The intraoperative bleeding volume of the patients in the observation group, The operation time, hospitalization time and wound size were less than those in the control group, the difference was not statistically significant (P 0.05). Compared with before treatment, the neurological function scores of all patients were improved, and the improvement effect of the observation group was better than that of the control group. At the same time, the incidence of postoperative complications in the observation group was lower than that in the control group, and the difference was statistically significant (P 0.05). Conclusion compared with the traditional craniotomy, minimally invasive puncture is more effective in the treatment of intracerebral hemorrhage. The operation time is shorter and the blood loss is less during the operation. The overall effect is obviously superior to the traditional treatment method. It is an ideal method for clinical treatment of intracerebral hemorrhage and has the significance of popularization and application.
【作者單位】： 山東省商河縣人民醫(yī)院;
【分類號(hào)】：R651.12

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