神经内镜下与开颅术对不同出血量高血压脑出血患者的治疗效果比较  

Comparison of curative effects between neuroendoscopy and craniotomy in the treatment of hypertensive intracerebral hemorrhage patients with different hemorrhage volume

作　　者：吕新文[1] 张鹏[1] 宋建荣[1] 周小龙[1] 朱峰[1] 蔡珂[1] 张超[1] 何蓓[1] LYU Xin-wen;ZHANG Peng;SONG Jian-rong;ZHOU Xiao-long;ZHU Feng;CAI Ke;ZHANG Chao;HE Bei(Neurosurgery Department, Baoji Center Hospital, Baoji 721008, China)

机构地区：[1]陕西省宝鸡市中心医院神经外科

出　　处：《临床医学研究与实践》2019年第24期69-71,共3页Clinical Research and Practice

摘　　要：目的比较神经内镜下与开颅术对不同出血量高血压脑出血患者的治疗效果。方法选取我院2013年11月至2018年11月收治的136例高血压脑出血患者为研究对象,采用简单随机分组法分别将不同出血量患者分为神经内镜组(神经内镜治疗)与开颅组(开颅手术治疗)。比较两组患者治疗后的临床指标与不良事件发生情况。结果当出血量为30~60 mL时,神经内镜组患者的手术时间明显短于开颅组(P<0.05);神经内镜组不良事件总发生率明显低于开颅组(P<0.05)。当出血量>60 mL时,神经内镜组患者的手术时间明显短于开颅组(P<0.05);神经内镜组的术后残余血量大于开颅组,术后第4天颅内压明显高于开颅组(P<0.05)。结论神经内镜下治疗对于出血量30~60 mL的高血压脑出血患者治疗效果较好,而开颅手术对于出血量>60 mL的患者治疗效果较好。Objective To compare the curative effects between neuroendoscopy and craniotomy in the treatment of hypertensive intracerebral hemorrhage patients with different hemorrhage volume. Methods A total of 136 patients with hypertensive intracerebral hemorrhage admitted in our hospital from November 2013 to November 2018 were selected as the study objects. According to the simple random grouping method, the patients with different hemorrhage volume were divided into neuroendoscopy group (neuroendoscopy treatment) and craniotomy group (craniotomy treatment). The clinical indicators and adverse events of the two groups after treatment were compared. Results When the hemorrhage volume was 30-60 mL, the operation time of the neuroendoscopy group was significantly shorter than that of the craniotomy group (P< 0.05);the total incidence of adverse events in the neuroendoscopy group was significantly lower than that in the craniotomy group (P<0.05). When the hemorrhage volume >60 mL, the operation time of the neuroendoscopy group was significantly shorter than that of the craniotomy group (P<0.05);the postoperative residual blood volume of the neuroendoscopy group was greater than that in the craniotomy group, and intracranial pressure on the fourth day after surgery of the neuroendoscopy group was significantly higher than that of the craniotomy group (P<0.05). Conclusion Neuroendoscopy treatment has the better curative effect for intracerebral hemorrhage patients with bleeding volume of 30-60 mL, and craniotomy has the better curative effect for intracerebral hemorrhage patients with bleeding volume >60 mL.

关 键 词：神经内镜 脑出血 高血压 

分 类 号：R651.12[医药卫生—外科学]