超早期微创手术与早期手术治疗中等量基底节区HICH的临床效果  

Clinical effect of ultra-early minimally invasive surgery and early surgery on the moderate volume of hypertensive intracerebral hemorrhage in the basal ganglia and the influence on 30-day complete clearance rate of hemorrhage

作　　者：刘铁奇 朱虹 LIU Tieqi;ZHU Hong(Department of Neurosurgery,the Second Hospital of Chaoyang,Liaoning,Chaoyang 122000,China)

机构地区：[1]辽宁省朝阳市第二医院神经外科,122000

出　　处：《河北医药》2023年第14期2186-2188,共3页Hebei Medical Journal

摘　　要：目的探讨超早期微创手术与早期手术治疗中等量基底节区高血压脑出血(HICH)的临床效果及对术后30 d血肿完全清除率的影响。方法选取2018年2月至2020年2月接受治疗的120例基底节区HICH患者进行研究,按照不同手术时机分组。对照组(n=60)于发病后早期开展颅内血肿微创清除术,观察组(n=60)于超早期行颅内血肿微创清除术。分析2组临床疗效、血肿完全清除率、神经缺损程度、并发症、运动功能、意识障碍及住院时间。结果观察组治疗总有效率、血肿完全清除率均高于对照组(P<0.05);观察组NIHSS评分、并发症发生率均比对照组低(P<0.05);观察组Fugl-Meyer、GCS评分比对照组更高,住院时间比对照组更短(P<0.05)。结论对中等量基底节区HICH患者开展超早期微创手术,可帮助患者完全清除血肿,避免患者引发大量并发症,同时还能促进患者神经功能及运动的恢复,改善其意识障碍状态,有利于进一步缩短患者的住院时间,治疗效果较为良好。Objective To investigate the clinical effects of ultra-early minimally invasive surgery and early surgery on the moderate volume of hypertensive intracerebral hemorrhage(HICH)in the basal ganglia and the influence on 30-day complete clearance rate of hemorrhage.Methods A total of 120 patients with HICH in the basal ganglia treated in our hospital from February 2018 to February 2020 were selected,and they were grouped according to different surgical timings.Patients in the control group(n=60)and observation group(n=60)received minimally invasive surgery for removal of HICH in the early stage and ultra-early stage,respectively.Clinical efficacy,30-day complete clearance rate of hemorrhage,degree of nerve defect,complications,motor function,consciousness disturbance and length of stay were compared.Results Compared with control group,patients in the observation group presented significantly higher total effective rate,30-day complete clearance rate of hemorrhage,scores of the Fugl-Meyer Assessment of Motor Recovery after Stroke and the Glasgow Coma Scale(GCS),significantly lower National Institutes of Health Stroke Scale(NIHSS)and incidence of complications,and significantly shorter length of stay(all P<0.05).Conclusion The ultra-early minimally invasive surgery for patients with moderate volume of HICH in the basal ganglia contributes to completely remove the hemorrhage,prevent complications,improve the recovery of nerve function,motor function and consciousness,and shorten the length of stay,presenting an acceptable efficacy.

关 键 词：超早期微创手术 早期手术 中等量基底节区高血压脑出血 临床效果 血肿完全清除率 神经缺损程度 

分 类 号：R743[医药卫生—神经病学与精神病学]