神经内镜与微创穿刺治疗高血压脑出血的近期效果及预后对比  

Comparison of Short-term Effect and Prognosis of Neuroendoscopic and Minimally Invasive Puncture in the Treatment of Hypertensive Intracerebral Hemorrhage

作　　者：李成忠 王华 廖光辉 袁小强 LI Chengzhong;WANG Hua;LIAO Guanghui;YUAN Xiaoqiang(Dongguan Hospital of Traditional Chinese Medicine,Dongguan 523000,China;不详)

机构地区：[1]东莞市中医院,广东东莞523000

出　　处：《中外医学研究》2021年第21期125-128,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:观察神经内镜与微创穿刺治疗高血压脑出血的近期效果及预后对比。方法:选取笔者所在医院2017年6月-2020年3月收治的48例高血压脑出血患者为研究对象,将其随机分为试验组(24例)与对照组(24例)。试验组实施神经内镜手术治疗,对照组实施微创穿刺手术治疗。比较两组手术相关指标(手术时间、术中出血量、ICU治疗时间)、血肿量、GCS评分、临床疗效、并发症发生率、神经功能及日常生活能力。结果:试验组术中出血量多于对照组,手术时间长于对照组,但ICU治疗时间明显短于对照组,差异均有统计学意义(P<0.05)。术后1 d,试验组血肿量明显少于对照组,GCS评分明显高于对照组,差异均有统计学意义(P<0.05)。试验组临床治疗总有效率为95.83%,明显高于对照组的75.00%,差异均有统计学意义(P<0.05)。试验组并发症发生率为4.17%,明显低于对照组的29.17%,差异有统计学意义(P<0.05)。术后1个月,试验组NIHSS评分明显低于对照组,Barthel指数明显高于对照组,差异均有统计学意义(P<0.05)。结论:在高血压脑出血患者治疗中,神经内镜手术时间较长,术中出血量较多,但清除血肿效果理想,可降低昏迷评分,并发症更少,可提高患者神经功能与日常生活能力,改善患者预后,近期疗效更好。Objective:To observe the short-term effect and prognosis of neuroendoscopic and minimally invasive puncture in the treatment of hypertensive intracerebral hemorrhage.Method:A total of 48 patients with hypertensive intracerebral hemorrhage admitted in our hospital from June 2017 to March 2020 were selected as the research objects,and they were randomly divided into the experimental group(24 cases)and the control group(24 cases).The experimental group was treated with neuroendoscopic surgery,and the control group was treated with minimally invasive puncture surgery.The operation related indexes(operation time,intraoperative blood loss,ICU treatment time),hematoma volume,GCS score,clinical efficacy,incidence of complications,neurological function and activities of daily living were compared between the two groups.Result:The intraoperative blood loss of the experimental group was more than that of the control group,the operation time was longer than that of the control group,but the ICU treatment time was significantly shorter than that of the control group,the differences were statistically significant(P<0.05).One day after surgery,the hematoma volume in the experimental group was significantly less than that in the control group,and the GCS score was significantly higher than that in the control group,the differences were statistically significant(P<0.05).The total effective rate of the experimental group was 95.83%,which was significantly higher than 75.00%of the control group,the difference was statistically significant(P<0.05).The incidence of complication of the experimental group was 4.17%,which was significantly lower than 29.17%of the control group,the difference was statistically significant(P<0.05).One month after surgery,the NIHSS score of the experimental group was significantly lower than that of the control group,and the Barthel index was significantly higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion:In the treatment of hypertensive intracerebral h

关 键 词：神经内镜手术 微创穿刺手术 高血压脑出血 近期效果 预后 

分 类 号：R651.1[医药卫生—外科学]