软通道微创术对HICH总有效率及QOL评分作用分析

目的探讨高血压脑出血(HICH)患者采用软通道微创手术治疗的临床价值。方法选取2014年1月~2015年12月在河北邯郸解放军第285医院进行诊治的98例HICH患者进行临床研究,根据抽签结果随机分为软通道组、硬通道组各49例,两组的其余基础治疗方法相同,对比两组患者的手术效果、预后及生存质量(QOL)。结果软通道组患者的手术时间显著的长于硬通道组患者,差异具有统计学意义(P0.05);软通道组的硬膜下血肿发生率2.04%显著地低于硬通道组的14.29%,差异具有统计学意义(P0.05);术后4周,软通道组患者的愈显率(痊愈+显效)73.47%显著的高于硬通道组的53.06%,差异具有统计学意义(P0.05);软通道组的总有效率97.96%高于硬通道组的95.92%,差异不具有统计学意义(P0.05)。术后3个月、6个月,软通道组患者的BI指数、QOL评分均显著地高于同期硬通道组患者,差异均具有统计学意义(P0.05)。结论 HICH患者采用软通道微创手术治疗较硬通道手术可减少手术并发症、有利于患者术后的康复。

Effects of minimally invasive soft channel surgery on overall response rate of hypertensive intracerebral hemorrhage and QOL score

Objective To investigate the clinical efficacy of minimally invasive soft channel surgery in the treatment of hypertensive intracerebral hemorrhage (HICH).Methods Ninety-eight HICH patients, who were diagnosed and treated in the 285th Hospital of PLA in Handan, Hebei Province, China from January 2014 to December 2015, were randomly divided into soft channel group and hard channel group, each with 49 cases. The two groups received the same basic treatment, and were compared in terms of their surgical effect, prognosis, and quality of life (QOL).Results The soft channel group had a significantly longer operation time than the hard channel group (P<0.05). The incidence of subdural hematoma in the soft channel group was significantly lower than that in the hard channel group (2.04% vs 14.29%, P<0.05). At four weeks after surgery, the cure and marked response rate in the soft channel group was significantly higher than that in the hard channel group (73.47% vs 53.06%, P<0.05). The soft channel group also had a slightly higher overall response rate than the hard channel group (97.96% vs 95.92%), but without a significant difference (P>0.05). At 3 and 6 months after surgery, the soft channel group had significantly higher Barthel index and QOL score than the hard channel group (P<0.05).Conclusions Compared with those treated with hard channel surgery, HICH patients treated with minimally invasive soft channel surgery have fewer postoperative complications and better recovery from surgery.