老年重症高血压脑出血应用神经内镜超早期微创术联合重组人促红细胞生成素的疗效分析  

Analysis of Curative Effect of Neuroendoscopic Ultra-Early Minimally Invasive Surgery Combined with Recombinant Human Erythropoietin for Senile Severe Hypertensive Cerebral Hemorrhage

作　　者：宋艳群 罗永平 Song Yan-qun;Luo Yong-ping(The Third People's Hospital of Heze City,Heze 274000,Shandong Province,China;Yuncheng County People's Hospital of Heze City,Heze 274700,Shandong Province,China)

机构地区：[1]山东省菏泽市第三人民医院,山东菏泽274000 [2]山东省菏泽市郓城县人民医院,山东菏泽274000

出　　处：《中国社区医师》2023年第3期30-32,共3页Chinese Community Doctors

摘　　要：目的:研究老年重症高血压脑出血患者应用神经内镜超早期微创术联合重组人促红细胞生成素(rHu-EPO)的疗效。方法:选取2021年1月-2022年1月山东省菏泽市第三人民医院收治的82例老年重症高血压脑出血患者为研究对象,随机分为对照组与研究组,各41例。对照组行神经内镜超早期微创术治疗,研究组行神经内镜超早期微创术联合rHu-EPO治疗。比较两组治疗前后Epworth嗜睡量表(ESS)评分、日常生活能力(ADL)评分、格拉斯哥预后(GOS)评分、格拉斯哥昏迷(GCS)评分与术中出血量、手术时间、住院时间及并发症发生情况。结果:治疗前,两组ESS、ADL、GOS、GCS评分比较,差异无统计学意义(P>0.05);治疗后,两组ESS、ADL、GOS、GCS评分均高于治疗前,且研究组高于对照组,差异有统计学意义(P=0.000)。两组术中出血量、手术时间比较,差异无统计学意义(P>0.05),研究组住院时间短于对照组,差异有统计学意义(P=0.000)。研究组并发症发生率低于对照组,差异有统计学意义(P=0.022)。结论:老年重症高血压脑出血患者采用神经内镜超早期微创术联合rHu-EPO治疗的疗效显著。Objective:To study the efficacy of neuroendoscopic ultra-early minimally invasive surgery combined with recombinant human erythropoietin(rHu-EPO) in the elderly patients with severe hypertensive cerebral hemorrhage.Methods:A total of 82 elderly patients with severe hypertensive cerebral hemorrhage admitted to the Third People’s Hospital of Heze City in Shandong Province from January 2021 to January 2022 were selected as the study subjects.They were randomly divided into control group and study group with 41 cases in each group.The control group was treated with neuroendoscopic ultra-early minimally invasive surgery,and the study group was treated with neuroendoscopic ultra-early minimally invasive surgery combined with rHu-EPO.The Epworth Sleepiness Scale(ESS) score,ability to daily living(ADL) score,Glasgow Outcome Scale(GOS) score,Glasgow Coma Scale(GCS) score,intraoperative blood loss,operation time,length of hospital stay and complications before and after treatment were compared between the two groups.Results:Before treatment,there was no significant difference in the scores of ESS,ADL,GOS,and GCS between the two groups(P>0.05).After treatment,the scores of ESS,ADL,GOS,and GCS in the two groups were higher than those before treatment,and the study group was higher than the control group,and the difference was statistically significant(P=0.000).There was no significant difference in intraoperative blood loss and operation time between the two groups(P>0.05).The length of hospital stay in the study group was shorter than that in the control group,and the difference was statistically significant(P=0.000).The incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P=0.022).Conclusion:In the elderly patients with severe hypertensive cerebral hemorrhage,neuroendoscopic ultra-early minimally invasive surgery combined with rHu-EPO has significant efficacy.

关 键 词：高血压 脑出血 神经内镜超早期微创术 重组人促红细胞生成素 神经损伤 

分 类 号：R651.1[医药卫生—外科学]