检索规则说明:AND代表“并且”;OR代表“或者”;NOT代表“不包含”;(注意必须大写,运算符两边需空一格)
检 索 范 例 :范例一: (K=图书馆学 OR K=情报学) AND A=范并思 范例二:J=计算机应用与软件 AND (U=C++ OR U=Basic) NOT M=Visual
作 者:韩克辉 李云 HAN Kehui;LI Yun(Department of Neurosurgery,Zhoucun People's Hospital,Zibo,Shandong Province,255300 China;Department of Public Health Surveillance,Zhoucun Center for Disease Control and Prevention,Zibo,Shandong Province,255300 China)
机构地区:[1]周村区人民医院神经外科,山东淄博255300 [2]周村区疾病预防控制中心公共卫生监测科,山东淄博255300
出 处:《系统医学》2021年第6期74-76,共3页Systems Medicine
摘 要:目的分析神经内镜辅助小骨窗开颅治疗高血压脑出血的效果。方法选取该院神经外科2015年6月—2019年5月收治的76例高血压性脑出血患者为研究对象,分为对照组(对照组实施传统小骨窗开颅术)和研究组(神经内镜辅助小骨窗开颅术),每组38例。比较两组患者手术时间、术中出血量、住院时间、术后颅内压水平、NIHSS评分与术后并发症发生率。结果研究组手术时间(96.20±10.51)min、住院时间(15.80±2.10)d短于对照组(P<0.05),术中出血量(135.22±26.21)mL少于对照组(P<0.05),术后颅内压水平(21.31±1.52)mmHg、NIHSS评分(3.95±1.26)分,差异有统计学意义(t=16.580、21.998、14.125、13.698、16.007,P<0.05);研究组并发症发生率5.26%低于对照组,优于对照组差异有统计学意义(χ^(2)=4.145,P<0.05)。结论采用神经内镜辅助小骨窗开颅治疗高血压性脑出血可以明显减轻手术创伤,缩短患者住院时间,降低术后并发症发生率,更有利于患者神经功能恢复。Objective To analyze the effect of neuroendoscope-assisted small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage.Methods The 76 patients with hypertensive intracerebral hemorrhage admitted to the hospital's neurosurgery department from June 2015 to May 2019 were selected as the research objects,and they were divided into the control group(traditional small bone window craniotomy)and the study group(neuroendoscopy auxiliary small bone window craniotomy),with 38 cases in each group.The operation time,intraoperative blood loss,hospital stay,postoperative intracranial pressure level,NIHSS score and postoperative complications were compared between the two groups.Results The operation time of the study group was(96.20±10.51)min,the hospitalization time(15.80±2.10)d was shorter than that of the control group(P<0.05),and the intraoperative blood loss(135.22±26.21)mL was less than that of the control group(P<0.05).Posterior intracranial pressure level(21.31±1.52)mmHg and NIHSS score(3.95±1.26)points was better than the control group,the difference was statistically significant(t=16.580,21.998,14.125,13.698,16.007,P<0.05);the incidence of complications in the study group 5.26%was lower than the control group,the difference was statistically significant(χ^(2)=4.145,P<0.05).Conclusion The use of neuroendoscope-assisted small bone window craniotomy for the treatment of hypertensive cerebral hemorrhage can significantly reduce surgical trauma,shorten the patient's hospital stay,reduce the incidence of postoperative complications,and be more conducive to the recovery of patients'nerve function.
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在链接到云南高校图书馆文献保障联盟下载...
云南高校图书馆联盟文献共享服务平台 版权所有©
您的IP:216.73.216.70