微创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 Minimally Invasive Removal of Intracranial Hematoma in Patients with Hypertensive Intracerebral Hemorrhage and Its Influence on Inflammation and Postoperative Recovery

作　　者：黄跃供 白金伟 朱清伟 HUANG Yuegong;BAI Jinwei;ZHU Qingwei(Department of Neurosurgery,Zhangzhou Zhengxing Hospital,Zhangzhou,Fujian Province,363000 China)

机构地区：[1]漳州正兴医院神经外科,福建漳州363000

出　　处：《中外医疗》2024年第7期51-54,共4页China & Foreign Medical Treatment

摘　　要：目的研讨微创颅内血肿清除术(Minimally Invasive Removal of Intracranial Hematoma,MPST)对高血压性脑出血患者机体炎症、术后功能恢复的影响。方法方便选取2021年10月-2023年3月漳州正兴医院收治的84例高血压性脑出血患者为研究对象,采用随机对照原则分为对照组与观察组(42例/组)。对照组予以传统开颅手术处理,观察组予以MPST处理,比较两组手术基础性评估指标、机体炎症指标及术后恢复状况。结果观察组各项围术期基础指标较对照组均更优,差异有统计学意义(P均<0.05)。术后7 d,观察组机体3项炎症水平相较于对照组均更低,差异有统计学意义(P均<0.05)。术后6个月,观察组日常生活能力得分较对照组明显更高,差异有统计学意义(P<0.05)。术后6个月,观察组神经缺损状况得分为(10.21±2.05)分较对照组的(14.29±2.87)分更低,差异有统计学意义(t=7.496,P<0.001)。结论对高血压性脑出血患者实施MPST治疗效果显著,并可促进机体炎症清除,加快术后功能恢复。Objective To study the effects of minimally invasive removal of intracranial hematoma(MPST)on inflam-mation and postoperative functional recovery in patients with hypertensive intracerebral hemorrhage.Methods A total of 84 patients with hypertensive cerebral hemorrhage admitted to Zhangzhou Zhengxing Hospital from October 2021 to March 2023 were conveniently selected as the study objects,and were divided into control group and observation group(42 cases/group)by randomized control principle.The control group was treated with traditional craniotomy,and the observation group was treated with MPST.The basic evaluation indexes,inflammation indexes and postoperative recovery of the two groups were compared.Results The perioperative basic indexes in the observation group were bet-ter than those in the control group,and the differences were statistically significant(all P<0.05).7 d after surgery,the 3 inflammation levels in the observation group were lower than those in the control group,and the differences were sta-tistically significant(all P<0.05).6 months after operation,the daily living ability score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).6 months af-ter operation,the score of nerve defect in the observation group was(10.21±2.05)points,lower than that in the control group[(14.29±2.87)points],and the difference was statistically significant(t=7.496,P<0.001).Conclusion MPST is effective in the treatment of hypertensive intracerebral hemorrhage,and can promote the clearing of inflammation and accelerate the recovery of postoperative function.

关 键 词：高血压性脑出血 微创颅内血肿清除术 机体炎症 功能恢复 

分 类 号：R5[医药卫生—内科学]