三维立体定向引导神经内镜治疗对高血压脑出血患者氧供氧耗平衡及脑血流的影响观察  

Observation on Influence of Neuroendoscopic Therapy Guided by Three Dimensional Orientation for Balance of Oxygen Supply and Consumption and Cerebral Blood Flow of Patients with Hypertensive Cerebral Hemorrhage

作　　者：刘俊[1] LIU Jun(Jiujiang First People’s Hospital,Jiujiang 332000,China)

机构地区：[1]江西省九江市第一人民医院,江西九江332000

出　　处：《中国医学创新》2021年第29期6-9,共4页Medical Innovation of China

基　　金：江西省卫生健康委科技计划项目(20204215)。

摘　　要：目的:探究三维立体定向引导神经内镜治疗对高血压脑出血患者氧供氧耗平衡及脑血流的影响。方法:选取2018年6月-2020年12月本院收治的90例高血压脑出血患者为研究对象,将其根据治疗方式的不同分为对照组(进行微创穿刺治疗)和观察组(采用三维立体定向引导神经内镜治疗),每组45例。比较两组术前及术后12、24、48 h氧供指标(DO_(2)、DO_(2)I)、氧耗指标(VO_(2)、VO_(2)I)及脑血流指标(Qmean、Vmean、R及CP)。结果:两组术前氧供指标、氧耗指标及脑血流指标比较,差异均无统计学意义(P>0.05);观察组术后12、24、48 h氧供指标、氧耗指标、R及CP均显著低于对照组,Qmean、Vmean均显著高于对照组,差异均有统计学意义(P<0.05)。结论:三维立体定向引导神经内镜治疗对高血压脑出血患者氧供氧耗平衡及脑血流的影响更为积极,因此在高血压脑出血患者中的应用价值较高。Objective:To investigate the influence of neuroendoscopic therapy guided by three dimensional orientation for balance of oxygen supply and consumption and cerebral blood flow of patients with hypertensive cerebral hemorrhage.Method:A total of 90 patients with hypertensive cerebral hemorrhage from June 2018 to December 2020 were chosen as the study objects,according to the different treatment methods,they were divided into control group (minimally invasive puncture treatment) and observation group (three-dimensional stereoscopic guided neuroendoscopy treatment),45 cases in each group.Then the oxygen supply indexes (DO_(2)and DO_(2)I),oxygen consumption indexes (VO_(2)and VO_(2)I) and cerebral blood flow indexes (Qmean,Vmean,R and CP) of two groups before operation and at 12,24 and 48 h after operation were compared.Result:The oxygen supply indexes,oxygen consumption indexes and cerebral blood flow indexes of two groups before operation were compared,there were no statistically significant differences (P>0.05);the oxygen supply indexes,oxygen consumption indexes,R and CP of the observation group at 12,24 and 48 h after operation were significantly lower than those of the control group,the Qmean and Vmean were significantly higher than those of the control group,there were statistically significant differences (P<0.05).Conclusion:The influence of neuroendoscopic therapy guided by three dimensional orientation for balance of oxygen supply and consumption and cerebral blood flow of patients with hypertensive cerebral hemorrhage are more active,and its application value in patients with hypertensive cerebral hemorrhage is higher.

关 键 词：三维立体定向 神经内镜 高血压脑出血 氧供氧耗平衡 脑血流 

分 类 号：R743.34[医药卫生—神经病学与精神病学]