术中超声引导神经内镜手术治疗高血压性脑出血的效果研究  

Study on the Effect of Intraoperative Ultrasus-guided Neuroendoscopic Surgery on Hypertensive Intracerebral Hemorrhage

作　　者：周广平 水政 刘文军 张玲 吴昊 ZHOU Guangping;SHUI Zheng;LIU Wenjun;ZHANG Ling;WU Hao(Department of Neurosurgery,Shache County People's Hospital,Kashgar,Xinjiang Uygur Autonomous Region,844700 China)

机构地区：[1]新疆喀什地区莎车县人民医院神经外科,新疆喀什844700

出　　处：《系统医学》2023年第17期136-139,共4页Systems Medicine

基　　金：新疆喀什地区科技计划项目(KS2022009)。

摘　　要：目的分析术中超声引导神经内镜手术(intraoperative ultrasound-guided neuroendoscopic surgery,IUGNS)治疗高血压性脑出血(hich hypertensive intracerebral hemorrhage,HICH)的效果。方法选取2021年6月—2022年6月新疆喀什地区莎车县人民医院神经外科收治的HICH患者中随机抽取62例,根据随机数表法分为A组(n=31)采用开颅血肿清除术(removal of craniotomy hematoma,RCH)和B组(n=31)采用IUGNS。对比两组效果。结果B组治疗有效率为93.54%,高于A组的74.19%,差异有统计学意义(χ^(2)=4.292,P=0.038)。术后B组美国国立卫生研究院卒中量表评分低于A组,差异有统计学意义(P<0.05)。B组手术时间、术中失血量均优于A组,差异有统计学意义(P<0.05)。术前两组颅内压、脑水肿体积、格拉斯哥昏迷指数评分对比,差异无统计学意义(P>0.05);术后B组优于A组,差异有统计学意义(P<0.05)。结论HICH行IUGNS治疗,疗效显著且安全系数高,清除血肿效果更佳,有利于患者更好地恢复神经功能。Objective To analyze the effect of intraoperative ultrasound-guided neuroendoscopic surgery(IUGNS)on high hypertensive intracerebral hemorrhage(HICH).Methods A total of 62 HICH patients admitted to the neurosur-gery department of Shache County People's Hospital,Kashgar Prefecture,Xinjiang from June 2021 to June 2022 were randomly selected.Group A(n=31)was divided into two groups by removal of craniotomy hematoma(RCH)and group B(n=31)was divided into two groups by IUGNS according to random number table method.Compare the effects of the two groups.Results The effective rate of group B was 93.54%,which was higher than that of group A(74.19%),and the difference was statistically significant(χ^(2)=4.292,P=0.038).The score of the National Institutes of Health Stroke Scale in group B was lower than that in group A,and the difference was statistically significant(P<0.05).The opera-tive time and intraoperative blood loss in group B were better than those in group A,and the difference was statisti-cally significant(P<0.05).Before operation,there were no statistically significant differences in intracranial pressure,cerebral edema volume and Glasgow coma index scores between the two groups(P>0.05);after operation,group B was better than group A,the difference was statistically significant(P<0.05).Conclusion HICH's treatment with IUGNS has significant efficacy and high safety factor,and the effect of removing hematoma is better,which is conducive to better recovery of nerve function in patients.

关 键 词：术中超声引导神经内镜手术 高血压性脑出血 美国国立卫生研究院卒中量表评分 

分 类 号：R743.2[医药卫生—神经病学与精神病学]