CAJ | 학술논문

目的：：探讨疼痛脑出血患者应用两种手术方式治疗后对患者的术后生活质量以及神经功能恢复情况的影响。方法：选取我院收治的180例脑出血患者，根据其手术方式的不同将其分为开颅手术组以及微创手术组，术后两组患者均给予常规的药物治疗，采用卒中量表(NIHSS)比较两组术后3个月的神经功能评分并应用生活质量问卷调查比较两组患者治疗后生活质量。结果：治疗后两组患者的 NIHSS 评分均较治疗前明显改善，微创手术组改善程度更明显，组间比较差异有统计学意义(P <0.05)。微创手术组患者治疗后的生理功能、躯体疼痛、活力、社会功能、情感、精神健康方面的评分相比于开颅手术组明显改善，组间比较有统计学差异(P <0.05)。结论：对于脑出血患者应用微创血肿钻孔减压术更有利于患者神经功能恢复，提高生活质量，值得推广应用。
목적：：탐토동통뇌출혈환자응용량충수술방식치료후대환자적술후생활질량이급신경공능회복정황적영향。방법：선취아원수치적180례뇌출혈환자，근거기수술방식적불동장기분위개로수술조이급미창수술조，술후량조환자균급여상규적약물치료，채용졸중량표(NIHSS)비교량조술후3개월적신경공능평분병응용생활질량문권조사비교량조환자치료후생활질량。결과：치료후량조환자적 NIHSS 평분균교치료전명현개선，미창수술조개선정도경명현，조간비교차이유통계학의의(P <0.05)。미창수술조환자치료후적생리공능、구체동통、활력、사회공능、정감、정신건강방면적평분상비우개로수술조명현개선，조간비교유통계학차이(P <0.05)。결론：대우뇌출혈환자응용미창혈종찬공감압술경유리우환자신경공능회복，제고생활질량，치득추엄응용。
Objective:Compare the influence on postoperative quality of life and neurologic function of pa-tients after using two kinds of surgical methods for the treatment of traumatic cerebral hemorrhage patients.Meth-ods:Select 90 cases of cerebral hemorrhage patients in our hospital ,according to the different operation methods di-vided them into the surgical craniotomy and minimally invasive surgery group,two groups of postoperative patients were given conventional drug treatment,the stroke scale (NIHSS)scores was used to compare nerve function score 3 months after surgery in two groups and health-related quality of life questionnaire was used to compared the quality of life of patients after treatment in two groups.Results:After treatment NIHSS score of patients in two groups both improved obviously,and the minimally invasive surgery group was more obvious,the difference between groups was statistically significant(P <0.05).Physiological function,body pain,vitality,social function,emotional,men-tal health scores were significantly better than those in minimally invasive surgery group after treatment compared with than the surgical craniotomy group,the difference between groups was statistically significant(P <0.05).Con-clusions:Minimally invasive hematoma drilling decompression using in the treatment for cerebral hemorrhage pa-tients can be more conducive for the patient's nerve functional recovering,improve the quality of life,is worth of popularization and application.