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目的 :探讨软通道置管对高血压脑出血患者的临床疗效及生活质量的影响。方法 :将就诊于我院的高血压脑出血患者106例随机分为对照组与观察组各53例,对照组给予常规的内科治疗,观察组在对照组基础上行行CT立体定向微创软通道置管引流。研究周期为4周。比较治疗前后两组患者的美国国立卫生研究院卒中量表(NIHSS)评分、日常生活能力(ADL)评分及健康调查简表(SF-36)量表相关指标评分。结果 :与治疗前比较,治疗后两组的NIHSS评分、ADL评分、SF-36量表相关的躯体功能、躯体疼痛、社交功能整体健康及精神健康评分均显著改善,差异均具有统计学意义;与对照组相比,治疗后观察组SF-36量表相关的躯体功能、躯体疼痛、社交功能整体健康及精神健康评分均明显改善,差异均具有统计学意义。结论 :与常规治疗方案相比,软通道置管用于高血压脑出血患者的治疗,可改善其生活质量,值得临床借鉴参考。
Objective: To investigate the clinical effect and quality of life of patients with hypertensive cerebral hemorrhage treated with soft-channel catheterization. Methods: 106 patients with hypertensive intracerebral hemorrhage treated in our hospital were randomly divided into control group and observation group, with 53 cases in each group. The control group was given conventional medical treatment. The observation group was treated with CT stereotactic minimally invasive soft-ware channel Tube drainage. The study period is 4 weeks. The National Institutes of Health Stroke Scale (NIHSS) score, daily living ability (ADL) score, and health-related survey score (SF-36) scale were compared between the two groups before and after treatment. Results: Compared with those before treatment, NIHSS score, ADL score, body function related to SF-36 scale, somatic pain, social health and mental health scores of both groups were significantly improved after treatment, the differences were statistically significant; Compared with the control group, body function, somatic pain, social health and mental health score of SF-36 in observation group after treatment were significantly improved, the differences were statistically significant. Conclusion: Compared with the conventional treatment, soft channel catheterization for hypertensive intracerebral hemorrhage in patients with treatment, can improve their quality of life, is worthy of clinical reference for reference.