| 摘要: |
| ［摘要］ 目的 观察动态精准定位软件辅助软通道引流技术在高血压脑出血（HICH）中的应用效果。方法 选择2020年1月至2022年1月大庆油田总医院收治的254例HICH患者的临床资料。根据颅内血肿定位方法分为对照组（124例，采用传统手术穿刺方法）和观察组（130例，采用钻孔定位软件辅助下穿刺方法）。比较两组临床疗效、拔管时间、住院时间，以及血肿量、中国脑卒中临床神经功能缺损程度评分量表（CSS）评分、巴氏指数（BI）评分、格拉斯哥预后评分（GOS）变化。记录两组并发症发生情况。结果 观察组临床总有效率显著高于对照组（93.08% vs 81.45%；P<0.05）。观察组拔管时间、住院时间短于对照组，差异有统计学意义（P<0.05）。在术后1 d和2 d，观察组血肿量均显著小于对照组（P<0.05）。在治疗后，两组CSS评分均较治疗前降低，BI评分较治疗前升高，差异有统计学意义（P<0.05），且观察组CSS评分较对照组更低，BI评分较对照组更高，差异有统计学意义（P<0.05）。观察组GOS高于对照组，肺部感染发生率低于对照组，差异有统计学意义（P<0.05）。结论 动态精准定位软件辅助软通道引流技术有助于血肿快速引流，促进患者术后神经功能恢复，提高临床疗效。 |
| 关键词: 高血压脑出血 软通道引流技术 动态精准定位 多层螺旋CT |
| DOI：10.3969/j.issn.1674-3806.2023.09.11 |
| 分类号:R 743.2 |
| 基金项目: |
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| Observation on the application effect of dynamic accurate positioning software assisted soft channel drainage technology on hypertensive cerebral hemorrhage |
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TANG Hai-tao, LIU Dong, XU Yang, et al.
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Department of Neurosurgery, Daqing Oilfield General Hospital, Heilongjiang 163001, China
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| Abstract: |
| ［Abstract］ Objective To observe the application effect of dynamic accurate positioning software assisted soft channel drainage technology on hypertensive cerebral hemorrhage(HICH). Methods The clinical data of 254 patients with HICH who were admitted to Daqing Oilfield General Hospital from January 2020 to January 2022 were selected. According to different localization methods of intracranial hematoma, the patients were divided into control group(124 cases, using the traditional surgical puncture method) and observation group(130 cases, using the puncture method assisted by drilling and positioning software). The clinical efficacy, extubation time, duration of hospitalization and the changes in the amount of hematoma, Chinese Stroke Scale of Clinical Neurologic Deficit Grade(CSS) scores, Babbitt index(BI) score, and Glasgow outcome scores(GOS) were compared between the two groups. The occurrence of complications was recorded in the two groups. Results The total clinical effective rate of the observation group was significantly higher than that of the control group(93.08% vs 81.45%; P<0.05). The extubation time and the duration of hospitalization in the observation group was shorter than that in the control group, and the difference was statistically significant(P<0.05). The amount of hematoma in the observation group was significantly less than that in the control group 1 day and 2 days after operation(P<0.05). After treatment, the CSS scores in both groups were lower than those before treatment, and the BI scores were higher than those before treatment, and the differences were statistically significant(P<0.05), and the CSS scores of the observation group were lower than those of the control group, and the BI scores were higher than those of the control group, and the differences were statistically significant(P<0.05). The GOS of the observation group were higher than those of the control group, and the incidence of pulmonary infection in the observation group was lower than that in the control group, and the differences were statistically significant(P<0.05). Conclusion Dynamic accurate positioning software assisted soft channel drainage technology is helpful for rapid drainage of hematoma, and promotes the patients′ postoperative neurological function recovery, and improves the clinical efficacy. |
| Key words: Hypertensive cerebral hemorrhage(HICH) Soft channel drainage technology Dynamic accurate positioning Multislice spiral computed tomography(CT) |
