刘俊 1徐勤义 1王栋 1陆瑨 1陆俊杰 1孙呈国1
作者信息
- 1. 无锡市惠山区人民医院 江苏 无锡 214187
- 折叠
摘要
Abstract
Objective:To explore the influence of ultra-early and early hematoma puncture and drainage surgery on patients with hypertensive cerebral hemorrhage.Method:The clinical data of 102 patients with hypertensive cerebral hemorrhage admitted to Huishan District People's Hospital of Wuxi from January 2019 to December 2022 were retrospectively analyzed.According to the different operation time,the patients were divided into conventional group and experimental group,51 cases in each group.In the conventional group,hematoma puncture and drainage surgery were performed 6-12 h after onset.Hematoma puncture and drainage surgery were performed in experimental group<6 h after onset.Perioperative indexes,neurological function before surgery,2 d,4 d and 6 d after surgery,daily living ability before surgery and 2 months after surgery,complications and prognosis condition were compared between the two groups.Result:The surgery time of experimental group was shorter than that of conventional group,and the intraoperative blood loss volume was less than that of conventional group,the differences were statistically significant(P<0.05).At 2 d,4 d and 6 d after surgery,China stroke clinical neurological function deficit scale(CSS)scores of experimental group were lower than those of conventional group,and the differences were statistically significant(P<0.05).Two months after surgery,the daily living ability scores of the two groups were increased,and the daily living ability score of the experimental group was higher than that of the conventional group,and the differences were statistically significant(P<0.05).The incidence of complication of experimental group was lower than that of conventional group,and the difference was statistically significant(P<0.05).Three months after surgery,the prognosis condition of experimental group was better than that of conventional group,and the difference was statistically significant(P<0.05).Conclusion:The treatment of patients with hypertensive intracerebral hemorrhage with ultra-early hematoma puncture and drainage surgery is beneficial to promote the recovery of nerve function,improve the ability of daily living,and improve the prognosis of patients.关键词
超早期血肿穿刺引流术/高血压脑出血/神经功能/日常生活能力/预后Key words
Ultra-early hematoma puncture drainage surgery/Hypertensive cerebral hemorrhage/Neural function/Activity of daily living/Prognosis
