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目的对CT引导双靶点微创穿刺术治疗高血压脑出血的临床疗效予以探究并剖析。方法选取我彭州市中医医院神经外科2012-04—2015-04所接收86例高血压脑出血患者作为实验对象。将其按照不同治疗方法均分成两组,就单靶点治疗(对照组,n=43)与CT引导双靶点微创穿刺术治疗(观察组,n=43)的临床疗效展开探讨。结果观察组与对照组总有效率分别为72.09%、58.14%,经χ2检验,P<0.05,两组患者总有效率差异有统计学意义。观察组与对照组术后CT评估血肿量分别为15.23±6.48mL和26.35±7.11mL,经t检验,P<0.05,观察组术后血肿量明显低于对照组;观察组与对照组术后NIHSS评分分别为10.26±4.15分和18.32±3.11分,经t检验,P<0.05,两组比较差异有统计学意义。结论与单靶点治疗相较,CT引导下双靶点微创穿刺术治疗基底节区高血压脑出血的术后效果更好,在临床有推广和普及的价值。
Objective To explore and analyze the clinical efficacy of CT-guided dual-target minimally invasive puncture in the treatment of hypertensive intracerebral hemorrhage. Methods selected Pengzhou Hospital of Traditional Chinese Medicine Neurosurgery 2012-04-2015-04 Received 86 cases of hypertensive intracerebral hemorrhage as experimental subjects. The patients were divided into two groups according to different treatment methods. The clinical efficacy of single-target therapy (control group, n = 43) and CT-guided dual-target minimally invasive surgery (observation group, n = 43) were explored. Results The total effective rate of the observation group and the control group was 72.09% and 58.14% respectively. There was significant difference between the two groups in the total effective rate by χ2 test, P <0.05. The hematoma volume of postoperative CT in observation group and control group were 15.23 ± 6.48mL and 26.35 ± 7.11mL, respectively. After t test, the hematoma volume in observation group was significantly lower than that in control group NIHSS scores were 10.26 ± 4.15 and 18.32 ± 3.11 points, respectively, by t test, P <0.05, the difference between the two groups was statistically significant. Conclusion Compared with single-target therapy, CT-guided dual-target minimally invasive surgery in the treatment of hypertensive intracerebral hemorrhage in basal ganglia is more effective and has clinical value of popularization and popularization.