立体定向颅内血肿清除术在高血压性脑出血患者中的应用及对机体炎症、术后恢复的影响  

Application of Stereotactic Intracranial Hematoma Removal Surgery in Patients with Hypertensive Intracerebral Hemorrhage and Effects on Organism Inflammation and Postoperative Recovery

作　　者：吴飞海[1] WU Feihai(Department of Neurosurgery,Nanping Second Hospital,Nanping,Fujian Province,354200 China)

机构地区：[1]福建省南平市第二医院神经外科,福建南平354200

出　　处：《中外医疗》2023年第26期9-12,共4页China & Foreign Medical Treatment

摘　　要：目的研讨立体定向颅内血肿清除术(stereotactic intracranial hematoma removal surgery,EVAC)在高血压性脑出血(hypertensive intracerebral hemorrhage,HICH)患者中的应用及对机体炎症、术后恢复的影响。方法随机选取2021年5月—2023年5月经福建省南平市第二医院确诊为HICH的患者100例,按照随机数表法分组,各50例。对照组接受小骨窗开颅血肿清除术处理,观察组接受EVAC术处理,比较两组的临床疗效、手术前后机体炎症指标、术后神经功能恢复状况[美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)]以及并发症发生情况。结果观察组手术总有效率96.00%高于对照组80.00%,差异有统计学意义(χ^(2)=6.060,P=0.013)。术后7 d,观察组3项机体炎症指标检测值均优于对照组,差异有统计学意义(P<0.05)。术后7、14 d,观察组NIHSS量表得分均低于对照组,差异有统计学意义(P<0.05)。观察组并发症的发生总占比少于对照组,差异有统计学意义(P<0.05)。结论EVAC术用于HICH患者的治疗效果确切,并可有效减轻机体炎症反应,加快患者术后神经功能恢复,同时并发症较少,安全性相对也有保障。Objective To discuss the application of stereotactic intracranial hematoma removal surgery(EVAC)in patients with hypertensive intracerebral hemorrhage(HICH)and its impact on inflammation and postoperative recovery.Methods 100 patients diagnosed with HICH at the Second Hospital of Nanping City,Fujian Province from May 2021 to May 2023 were randomly selected and randomly divided into two groups with 50 cases in each group.The control group received small bone window craniotomy hematoma removal surgery,while the observation group received EVAC surgery.The clinical efficacy,inflammation indicators before and after surgery were compared between the two groups Postoperative neurological recovery status[National Institutes of Health Stroke Scale(NIHSS)]and incidence of complications.Results The total effective rate of surgery in the observation group 96.00% was higher than that in the control group,which was 80.00%,the difference was statistically significant(χ^(2)=6.060,P=0.013).On the 7th day after surgery,the observation group had better detection values of three inflammatory indicators than the control group,the difference was statistically significant(P<0.05).On the 7th and 14th day after surgery,the NIHSS scale scores in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).The total proportion of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion EVAC surgery for HICH patients has a precise therapeutic effect,and can effectively reduce the organism inflammatory response,accelerate the recovery of postoperative neurological function of the patients,and at the same time,there are fewer complications,and the safety of the patients is also relatively guaranteed.

关 键 词：高血压性脑出血 微创颅内血肿清除术 机体炎症 术后恢复 

分 类 号：R5[医药卫生—内科学]