微创穿刺术治疗脑出血36例

目的观察微创穿刺术治疗脑出血的临床效果。方法76例脑出血患者分为治疗组36例和对照组40例,对照组应用甘露醇脱水、调控血压、支持对症治疗;治疗组在对照组基础上采用YL-1型一次性颅内血肿粉碎穿刺针进行穿刺冲洗、液化、引流清除颅内血肿,并进行临床疗效对比。结果治疗后1个月,治疗组显效率和总有效率均高于对照组(P<0.01);治疗组神经功能缺损程度评分减少值明显高于对照组(P<0.01)。对照组病死率高于治疗组(P<0.01)。2组再出血率无显著差异(P>0.05)。结论微创穿刺粉碎清除术治疗急性脑出血患者,方法简单,引流效果好。

Efficacy of microinvasive puncturatio on cerebral hemorrhage for 36 cases

Objective To explore the efficacy of microinvasive puncturatio on cerebral hemorrhage.Methods 76 cases with cerebral hemorrhage were divided into treatment group(36 cases) and control group(40 cases).The cases in control group were performed with mannitol,control blood pressure and symptomatic treatment.The cases in treatment group were performed with YL-1 intracranial hematoma comminution transfixion pin to puncturatio,douche,deliquesce and drain in order to clear intracranial hematoma.The clinical efficacy was compared between two groups.Results The excellence rate and total effective rate in treatment group were higher than that in control group post-treatment for one month(P<0.01).The score of neurologic impairment in treatment group was lower than that in control group(P<0.01).The death rate in control group was higher than that in treatment group(P<0.01).The rate of rehaemorrhagia was no difference between two groups(P>0.05).Conclusion It is easy way to treate cerebral hemorrhage and the effect of drain is good.