早期颅内血肿微创清除术治疗轻中度基底核区高血压脑出血的临床效果分析  

Clinical effect analysis of minimally invasive removal of early intracranial hematoma in the treatment of mild to moderate hypertensive intracerebral hemorrhage in the basal ganglia region

作　　者：魏峰 李修龙 张雷 董国平 崔燕 WEI Feng;LI Xiu-long;ZHANG Lei(Department of Neurosurgery,Cao County People's Hospital,Heze 274400,China)

机构地区：[1]山东省曹县人民医院神经外科,274400

出　　处：《中国现代药物应用》2024年第2期46-49,共4页Chinese Journal of Modern Drug Application

摘　　要：目的分析早期颅内血肿微创清除术应用在轻中度基底核区高血压脑出血(HICH)中的临床效果。方法80例轻中度的基底核区HICH患者,依据随机数字表法划分为研究组和对照组,每组40例。对照组采取保守方式治疗,研究组实施早期颅内血肿微创清除术治疗。对比两组治疗效果、神经功能评分、认知功能评分及并发症发生情况。结果研究组总有效率为95.00%,与对照组77.50%相比更优,差异具有统计学意义(P<0.05)。治疗前,两组神经功能评分对比,差异无统计学意义(P>0.05);治疗后,研究组神经功能评分(13.64±2.12)分比对照组的(19.74±5.26)分低,差异具有统计学意义(P<0.05)。研究组注意评分(5.71±0.43)分、命名评分(2.76±0.24)分、语言流畅评分(1.99±0.37)分、定向力评分(5.97±0.45)分、延迟记忆评分(2.96±0.33)分、抽象思维评分(1.65±0.33)分、视空间的执行能力评分(4.79±0.53)分、总分(23.85±5.47)分与对照组的(4.12±0.49)、(2.04±0.03)、(1.52±0.08)、(4.06±0.32)、(1.76±0.14)、(1.14±0.21)、(4.02±0.46)、(17.28±2.35)分相比更高,差异具有统计学意义(P<0.05)。研究组并发症发生率7.50%与对照组25.00%相比较低,差异具有统计学意义(P<0.05)。结论早期颅内血肿微创清除术应用在轻中度的基底核区HICH患者效果较好,可帮助患者更好地恢复其神经功能,帮助患者提升认知功能,降低术后并发症,能有效促进其早日康复,临床上值得推广使用。Objective To analyze the clinical effect of minimally invasive removal of early intracranial hematoma in the treatment of mild to moderate hypertensive intracerebral hemorrhage(HICH)in the basal ganglia region.Methods 80 patients with mild to moderate HICH in the basal ganglia region were divided into a study group and a control group according to random number table method,with 40 cases in each group.The control group received conservative treatment,and the study group received minimally invasive removal of early intracranial hematoma.The therapeutic effect,neurological function score,cognitive function score and complications were compared between the two groups.Results The total effective rate of the study group was 95.00%,which was better compared with 77.50%of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in neurological function scores between the two groups(P>0.05).After treatment,the neurological function score of(13.64±2.12)points in the study group was lower than(19.74±5.26)points in the control group,and the difference was statistically significant(P<0.05).The study group had attention score of(5.71±0.43)points,naming score of(2.76±0.24)points,verbal fluency score of(1.99±0.37)points,orientation score of(5.97±0.45)points,delayed memory score of(2.96±0.33)points,abstract thinking score of(1.65±0.33)points,visuospatial execution score of(4.79±0.53)points,total score of(23.85±5.47)points,which were higher compared with(4.12±0.49),(2.04±0.03),(1.52±0.08),(4.06±0.32),(1.76±0.14),(1.14±0.21),(4.02±0.46)and(17.28±2.35)points in the control group.The difference was statistically significant(P<0.05).The complication rate of 7.50%in the study group was lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of minimally invasive removal of early intracranial hematoma in patients with mild to moderate HICH in the basal ganglia region has a good effec

关 键 词：早期颅内血肿 微创清除术 高血压脑出血 认知功能 基底核区 神经功能 

分 类 号：R651.12[医药卫生—外科学]