高血压脑出血颅内血肿微创穿刺软通道技术与硬通道技术的效果比较

刘军

（延安市博爱医院，陕西 延安，716000）

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摘要：

目的 比较高血压脑出血颅内血肿微创穿刺软通道技术与硬通道技术的效果。方法 选择本院收治的84 例高血压脑出 血患者并随机分为对照组和观察组，各42 例。两组患者均符合颅内血肿微创穿刺治疗指征，观察组采用颅内血肿微创穿刺 软通道技术治疗，对照组采用颅内血肿微创穿刺硬通道技术治疗，比较两组的治疗效果。结果 术后1、3、5、7 d，观察组患者 颅内血肿量均显著少于对照组，差异显著（P<0.05）。两组的再出血率无统计学差异（P>0.05）。术后3 个月，观察组患者重度 功能障碍占比明显低于对照组（P<0.05）。结论 高血压脑出血采用颅内血肿微创穿刺软通道技术治疗效果优于硬通道技术。

关键词：高血压脑出血；颅内血肿微创穿刺；硬通道；软通道

中图分类号：R651.1文献标志码：A文章编号：2096-1413(2018)02-0064-02

Comparison of the clinical application of soft channel technique and hard channel technique of minimally invasive puncture in the treatment of hypertensive intracerebral hemorrhage
LIU Jun
(Yan``an Bo``ai Hospital, Yan``an 716000, China)

ABSTRACT: Objective To compare the clinical application effect of soft channel technique and hard channel technique of intracranial hematoma minimally invasive puncture in hypertensive intracerebral hemorrhage. Methods A total of 84 patients with hypertensive intracerebral hemorrhage admitted in our hospital were randomly divided into control group and observation group, with 42 cases in each group. Both groups were conformed to the indications of minimally invasive puncture for intracranial hematoma, the observation group was treated with soft channel technique of minimally invasive puncture, and the control group was given hard channel technique of minimally invasive puncture. The therapeutic effects of the two groups were compared. Results Postoperative 1, 3, 5 and 7 d, the amounts of intracranial hematoma in the observation group were significantly less than those of the control group, the differences were statistically significant (P<0.05). There was no significant difference in rebleeding rate between the two groups (P>0.05). At 3 months after operation, the seven dysfunction rate of the observation group was lower than that of the control group (P<0.05). Conclusion The effect of intracranial hematoma minimally invasive soft channel technique treatment in hypertensive intracerebral hemorrhage is better than the hard channel technique.
KEYWORDS: hypertensive intracerebral hemorrhage; intracranial hematoma minimally invasive puncture; hard channel technique; soft channel technique

参考文献：
[1] 陈思光,陆林.颅内血肿微创穿刺清除术双针引流治疗复杂高血压脑出血36 例[J].现代中西医结合杂志,2011,10(9):1094-1095.
[2] 王东海,庞广新.多靶点定向软通道技术治疗高血压脑出血效果探析[J].河南医学研究,2014,12(11):77-78.
[3] 张俊,谢仁龙.颅内血肿微创穿刺清除术加亚低温治疗高血压脑出血的临床研究[J].中华全科医学,2014,8(2):225-227.
[4] 肖伟利,元少鹏,胡建军.CT 立体定位引导微创穿刺颅内血肿清除术与开颅手术治疗高血压脑出血的疗效观察[J].中国医药指南,2014,8(15):50-51.
[5] 陈果,董伟.颅内微创穿刺血肿引流术治疗老年高血压脑出血的效果及对NT-pro BNP、HMGB-1 和GM-CSF 水平的影响[J].中国医 药导报,2016,10(2):41-45.
[6] 农胜德,陆明雄,李廷阳,等.颅内微创穿刺血肿引流术对高血压脑 出血患者炎性因子及血清铁蛋白、血清P 物质的影响[J].海南医 学院学报,2017,7(1):104-106,109.
[7] 王伟.颅内血肿微创穿刺清除术联合亚低温治疗高血压脑出血的 疗效观察[J].中国实用神经疾病杂志,2015,8(5):96-97.
[8] 王永东,孙桂良.基层医院神经内科对高血压脑出血定向硬、软通 道技术临床救治体会[J].当代医学,2013,8(21):33-34.