钻孔置管引流与内镜下微创手术治疗高血压脑出血的效果  

Effect of Drilling Catheter Drainage and Endoscopic Minimally Invasive Surgery in Treatment of Hypertensive Cerebral Hemorrhage

作　　者：崔海随 王刚[1] Cui Hai-sui;Wang Gang(The Second People's Hospital of Hainan Province,Wuzhishan 572299,Hainan Province,China)

机构地区：[1]海南省第二人民医院,海南五指山572299

出　　处：《中国社区医师》2022年第14期25-27,共3页Chinese Community Doctors

摘　　要：目的:对高血压脑出血患者钻孔置管引流治疗和内镜下微创手术治疗的效果展开探讨。方法:选取2018年4月-2020年6月海南省第二人民医院收治的76例高血压脑出血患者作为研究对象。根据硬币法将76例高血压脑出血患者随机分为对照组和试验组,对照组采取软通道穿刺抽吸、引流治疗方法,试验组采取钻孔内镜下极微创手术治疗方案,观察两组患者治疗情况、手术前后斯坎迪纳维亚神经卒中量表(SNSS)、美国国立卫生研究院卒中量表(NIHSS)评分。结果:试验组手术历时、术中出血量及治疗时间均好于对照组,差异有统计学意义(P<0.05)。两组术前SNSS、NIHSS评分比较,差异无统计学意义(P>0.05);术后两组分数都有明显提升,且试验组改善明显优于对照组,差异均有统计学意义(P<0.05)。结论:内镜下微创手术治疗在高血压脑出血患者中的应用价值较钻孔置管引流治疗更高,能更好地缩短其手术时间、住院时间,使之神经功能得到明显改善。Objective:To explore the effect of drilling catheter drainage and endoscopic minimally invasive surgery in treating patients with hypertensive intracerebral hemorrhage.Methods:A total of 76 patients with hypertensive intracerebral hemorrhage admitted to the Second People's Hospital of Hainan Province from April 2018 to June 2020 were selected as the subjects.The 76 patients with hypertensive intracerebral hemorrhage were randomly divided into the control group and the experimental group according to the coin method.The control group was treated by soft channel puncture and aspiration,as well as drainage,and the experimental group was treated by extremely minimally invasive surgery under borehole endoscopy.The treatment conditions,Scandinavia Neurological Stroke Scale(SNSS)and National Institutes of Health Stroke Scale(NIHSS)scores before and after surgery were observed in the two groups.Results:The operation duration,intraoperative blood loss and treatment time of the experimental group were better than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in SNSS and NIHSS scores between the two groups before operation(P>0.05);after operation,the scores in both groups were significantly improved,and the improvement in the experimental group was significantly better than that in the control group,with statistically significant difference(P<0.05).Conclusion:The application value of endoscopic minimally invasive surgery in patients with hypertensive intracerebral hemorrhage is higher than that of drilling catheter drainage,which can better shorten the operation time and hospitalization time,and improve the neurological function of patients.

关 键 词：钻孔置管引流 钻孔内镜下极微创手术 高血压脑出血 

分 类 号：R651.1[医药卫生—外科学]