ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-05-020 心脑血管疾病与治疗 2026, 2(05): 77-80

颅内血肿微创穿刺清除术在脑出血患者治疗中的效果观察

山西盈康一生总医院

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摘要

目的 本研究旨在探索颅内血肿微创穿刺清除术在脑出血患者治疗中的效果。方法 本研究选取了101例在2021年3月18日至2024年3月18日期间于山西盈康一生总医院住院治疗的脑出血患者,并通过随机数字表法将其随机分配为参照组(51例)和观察组(50例)。其中,参照组采用钻孔引流术进行治疗,观察组采用微创穿刺清除术进行治疗。对比两组患者病情相关指标、住院时间、住院费用、临床疗效等。结果 治疗后,两组患者病情相关指标均改善,相较于参照组,观察组格拉斯哥昏迷量表(GCS评分)显著增高,美国国立卫生研究院卒中量表(NIHSS评分)显著降低(P<0.05);与参照组相比,观察组住院时间、颅内压恢复正常时间明显缩短,且住院费用明显降低(P<0.05);观察组的总有效率显著高于参照组,不良反应发生率低于参照组(P<0.05)。结论 颅内血肿微创穿刺清除术在脑出血患者治疗中的效果显著,而且可以降低不良反应的发生率,值得临床推广。

Abstract

Objective This study aims to investigate the efficacy of minimally invasive puncture and removal procedure for intracranial hematoma in the treatment of patients with cerebral hemorrhage. Methods This study enrolled 101 patients with intracerebral hemorrhage hospitalized at Shanxi Yingkang Yisheng General Hospital between March 18, 2021, and March 18, 2024. Participants were randomly assigned using a random number table to either the control group(51 cases) or the observation group(50 cases). The control group underwent trephination and drainage, while the observation group received minimally invasive puncture evacuation. The two groups were compared in terms of diseaserelated indicators, length of hospital stay, hospitalization costs, and clinical efficacy. Results After treatment, the relevant indicators of the two groups of patients improved. Compared with the control group, the Glasgow Coma Scale(GCS score) of the observation group significantly increased, and the National Institutes of Health Stroke Scale(NIHSS score) significantly decreased(P<0.05). Compared with the control group, the hospitalization time and the time for intracranial pressure to return to normal in the observation group were significantly shorter, and the hospitalization cost was significantly lower(P<0.05). The total effective rate of the observation group was higher than that of the control group, and the incidence of adverse reactions was lower than that of the control group(P<0.05). Conclusion The minimally invasive puncture and removal procedure of intracranial hematoma has a remarkable effect in the treatment of patients with cerebral hemorrhage, and it can also reduce the incidence of adverse reactions. It is worthy of clinical promotion.

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[1]姚治同.颅内血肿微创穿刺清除术在脑出血患者治疗中的效果观察[J].疾病预防与控制,2026,2(05):77-80.