微创手术治疗中少量高血压脑出血的临床疗效观察  

Clinical Efficacy of Minimally Invasive Surgery in the Treatment of Medium and Small Amounts of Hypertensive Cerebral Hemorrhage

作　　者：王驰[1] 邱玉发[1] 舒张 王伟[1] Wang Chi;Qiu Yufa;Shu Zhang;Wang Wei(Stroke Center,Taicang First People's Hospital,Taicang 215400,Jiangsu Province,China)

机构地区：[1]太仓市第一人民医院卒中中心,江苏太仓215400

出　　处：《中外医药研究》2024年第12期10-12,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析中少量高血压脑出血患者应用微创手术治疗的效果。方法:选取2021年5月—2023年5月太仓市第一人民医院收治的中少量高血压脑出血患者62例为研究对象,按照治疗方式不同分为对照组和观察组,各31例。对照组应用开颅血肿清除术治疗,观察组采用微创手术治疗。观察两组患者血肿清除率、再出血发生率、昏迷情况、神经功能缺损情况、自理能力和日常生活情况。结果:两组患者治疗5 d后,观察组血肿清除率高于对照组,再出血发生率低于对照组,差异有统计学意义(P<0.05)。治疗后1、2、3周,两组患者昏迷、神经功能缺损评分与治疗前比较,差异有统计学意义(P<0.05);且两组治疗后2、3周昏迷评分高于治疗后1周,神经功能缺损评分低于治疗后1周,差异有统计学意义(P<0.05);治疗后3周昏迷评分高于治疗后2周,神经功能缺损评分低于治疗后2周,差异有统计学意义(P<0.05)。观察组患者治疗后1、2、3周昏迷评分高于对照组,神经功能缺损评分低于对照组,差异有统计学意义(P<0.05)。随访1年后,观察组自理能力和日常生活能力评分优于对照组,差异有统计学意义(P<0.05)。结论:对中少量高血压脑出血患者中应用微创手术治疗的血肿清除率高,再出血风险低,患者可尽早恢复,并减少神经功能受损,利于患者远期预后康复。Objective:To analyze the effect of the application of minimally invasive surgery in a middle and small number of patients with hypertensive cerebral hemorrhage.Methods:Sixty-two patients with medium and small amount of hypertensive cerebral hemorrhage admitted to Taicang First People's Hospital from May 2021 to May 2023 were selected for the study,and they were divided into the control group and the observation group according to the different treatment modalities,with thirty-one cases in each group.The control group applied craniotomy hematoma removal surgery,and the observation group used minimally invasive surgical treatment.The hematoma removal rate,rebleeding rate,coma,neurological deficits,self-care ability and daily life of patients in the two groups were observed.Results:After 5 d of treatment,the hematoma clearance rate of the observation group was higher than that of the control group,and the incidence of rebleeding was lower than that of the control group,and the difference was statistically significant(P<0.05);at 1,2,and 3 weeks after the treatment,the scores of coma and neurological deficits of the patients in the two groups were compared with those before the treatment,and the difference was statistically significant(P<0.05);and the coma score of the two groups at 2 and 3 weeks after treatment was higher than that at 1 week after treatment,and the neurological deficit score was lower than that at 1 week after treatment,and the difference was statistically significant(P<0.05);the coma score at 3 weeks after treatment was higher than that at 2 weeks after treatment,and the neurological deficit score was lower than that at 2 weeks after treatment,and the difference was statistically significant(P<0.05);the coma score of patients in the observation group was higher than that of the control group at 1,2 and 3 weeks after treatment,and the neurological deficit score was lower than that of the control group,with statistically significant differences(P<0.05);after 1 year of follow-up,the scores of self-care

关 键 词：中少量脑出血 高血压 微创手术 

分 类 号：R544.1[医药卫生—心血管疾病] R743.34[医药卫生—内科学]