微创治疗高血压性脑出血神经功能的临床疗效  

Clinical Effect of Minimally Invasive Treatment of Nerve Function in Hypertensive Cerebral Hemorrhage

作　　者：黄炳锋[1] 林绘[1] 周迩[1] HUANG Bingfeng;LIN Hui;ZHOU Er(Neurosurgery,Gaozhou People's Hospital,Gaozhou Guangdong 525200,China)

机构地区：[1]高州市人民医院神经外科,广东高州525200

出　　处：《中国继续医学教育》2021年第36期146-149,共4页China Continuing Medical Education

摘　　要：目的探讨微创手术在高血压性脑出血中的应用意义以及对神经功能的影响。方法研究对时间线2017年5月—2020年5月进行回顾分析,将期间收治的高血压性脑出血患者60例作为研究人群。以随机数字表法方完成分组,将应用常规开颅手术治疗的30例患者设立为对照组,将应用微创颅内血肿清除术治疗的30例患者设立为观察组,疗程结束时开展指标对比。结果观察组手术时间、意识恢复时间更短,术中出血量更少,与对照组差异有统计学意义(P<0.05)。术前两组NIHSS分值相当(P>0.05),术后观察组NIHSS分值更低(P<0.05)。术前两组炎性因子(TNF-α、IL-6、hs-CRP)相当(P>0.05),术后观察组各项炎症因子水平更低(P<0.05)。观察组并发症发生率更低,与对照组差异有统计学意义(P<0.05)。结论对高血压性脑出血患者开展微创治疗,创伤性小,预后恢复快,可有效改善患者神经功能,减轻炎性反应,降低并发症的发生。Objective To explore the significance of minimally invasive surgery in hypertensive cerebral hemorrhage and its impact on neurological function.Methods A retrospective analysis was conducted on the time line from May,from May 2017 to May 2020.A total of 60 patients with hypertensive intracerebral hemorrhage admitted during this period were selected as the study population.A total of 30 patients treated with conventional craniotomy were set as the control group,and 30 patients treated with minimally invasive intracranial hematoma removal were set as the observation group. Indicators were compared at the end of the treatment course. Results The operative time, consciousness recovery time and intraoperative blood loss were shorter in the observation group, which were significantly different from those in the control group (P<0.05). The NIHSS score of the two groups before surgery was similar (P>0.05), while the NIHSS score of the observation group after surgery was lower (P<0.05). The inflammatory factors (TNF-, IL-6, hs-CRP) in the two groups were similar before the operation (P>0.05), and the levels of all inflammatory factors in the observation group were lower after the operation (P<0.05). The incidence of complications in the observation group was lower, which was significantly different from the control group (P<0.05). Conclusion Minimally invasive treatment for patients with hypertensive intracerebral hemorrhage, with little trauma and quick recovery of prognosis, can effectively improve the patient's neurological function, reduce inflammatory response, and reduce the incidence of complications.

关 键 词：微创颅内血肿清除术 开颅手术 高血压性脑出血 神经功能 临床疗效 并发症 

分 类 号：R651[医药卫生—外科学]