神经内镜手术与小骨窗开颅手术治疗高血压脑出血患者的临床效果  

Clinical Effects of Neuroendoscopic Surgery and Small Bone Window Craniotomy in the Treatment of Patients with Hypertensive Cerebral Hemorrhage

作　　者：吴雁飞 Wu Yanfei(People's Hospital of Xunwu County,Ganzhou City,Jiangxi Province,Ganzhou Jiangxi 342200,China)

机构地区：[1]江西省赣州市寻乌县人民医院,江西赣州342200

出　　处：《医疗装备》2023年第22期81-83,87,共4页Medical Equipment

摘　　要：目的探讨神经内镜手术与小骨窗开颅手术治疗高血压脑出血患者的临床效果。方法采取随机数字表法将江西省赣州市寻乌县人民医院于2021年1月至2022年1月收治的58例高血压脑出血患者分为两组,每组29例。对照组行小骨窗开颅手术,试验组行神经内镜手术。比较两组手术时间、术中出血量、血肿清除率、住院时间、神经功能[采用美国国立卫生研究院卒中量表(NIHSS)评估]及日常活动能力(采用Barthel指数评估)。结果试验组手术时间、住院时间均短于对照组(P<0.05),术中出血量少于对照组,血肿清除率高于对照组(P<0.05)。术前,两组NIHSS评分、Barthel指数比较,差异均无统计学意义(P>0.05);术后3个月,两组NIHSS评分均低于同组术前(P<0.05),Barthel指数均高于同组术前(P<0.05),且试验组NIHSS评分低于对照组(P<0.05),Barthel指数高于对照组(P<0.05)。结论神经内镜手术比小骨窗开颅手术治疗高血压脑出血患者的效果更显著,手术效率更高,术后更快恢复,且血肿清除率更佳,利于促进患者神经功能恢复,提高日常活动能力。Objective The clinical effects of endoscopic neurosurgery and small bone window craniotomy in the treatment of hypertensive intracerebral hemorrhage patients were explored.Methods 58 patients with hypertensive cerebral hemorrhage admitted to the People's Hospital of Xunwu County,Ganzhou City,Jiangxi Province from January 2021 to January 2022 were divided into two groups using a random number table method,with 29 patients in each group.With the small bone window craniotomy performed in the control group,and neuroendoscopic surgery performed in the experimental group,the two groups were compared in terms of surgical time,intraoperative bleeding volume,hematoma clearance rate,length of hospital stay,neurological function[evaluated by using the National Institutes of Health Stroke Scale(NIHSS)],and daily activity ability(evaluated using the Barthel Index).Results The operation time and hospitalization time of experimental group were shorter than that of control group(P<0.05),the intraoperative blood loss was less than that of control group,and the clearance rate of hematoma was higher than that of control group(P<0.05).Before surgery,there was no statistically significant difference in the NIHSS score and Barthel index between the two groups(P>0.05);Three months after surgery,the NIHSS scores of both groups were lower than those of the same group before surgery(P<0.05),and the Barthel index was higher than that of the same group before surgery(P<0.05).Moreover,the NIHSS scores of the experimental group were lower than those of the control group(P<0.05),and the Barthel index was higher than that of the control group(P<0.05).Conclusion Neuroendoscopic surgery has played a significant role in the treatment of hypertensive intracerebral hemorrhage patients,with higher surgical efficiency,faster postoperative recovery,and better hematoma clearance rate,which is beneficial for promoting the recovery of neurological function and improving daily activity ability of patients.

关 键 词：神经内镜手术 小骨窗开颅手术 高血压脑出血 神经功能 

分 类 号：R743[医药卫生—神经病学与精神病学]