神经血管复合手术在动脉瘤性脑内血肿治疗中的应用  

Neurovascular complex surgery in the treatment of a aneurysmal intracranial hematoma patients

作　　者：张惠 张彬[2] ZHANG Hui;ZHANG Bin(Education People's Livelihood College,Smart Health and Wellness Teaching and Research Office,Xiamen City University,Xiamen Open University,Fujian 361000;Stroke Center of Tongling People's Hospital)

机构地区：[1]厦门城市职业学院,厦门开放大学教育民生学院智慧康养教研室,福建361000 [2]铜陵市人民医院卒中中心

出　　处：《南通大学学报（医学版）》2024年第4期353-357,共5页Journal of Nantong University(Medical sciences)

基　　金：安徽省教育厅高校自然科学研究重点项目(KJ2020A0970);安徽省教育厅高校优秀人才重点项目(gxyqZD2020065);厦门城市职业学院高层次人才科研启动项目(20105017)。

摘　　要：目的:探讨神经血管复合手术治疗动脉瘤性脑内血肿的安全性和有效性。方法:将2019年12月—2022年6月铜陵市人民医院收治的动脉瘤性脑内血肿患者49例作为研究对象进行历史对照研究,其中2019年6月—2020年5月接受传统手术方式治疗的23例患者为对照组,2020年6月—2022年6月接受神经血管复合手术治疗的26例患者为观察组。收集相关资料,分析神经血管复合手术对动脉瘤性脑内血肿的治疗作用。结果:观察组神经功能恢复水平、Barthel指数明显优于对照组(P<0.05),而观察组复发率、再出血率、死亡率明显低于对照组(P<0.05),两组患者在术中病情变化率、颅内感染率方面差异均无统计学意义(均P>0.05)。结论:应用一站式神经血管复合手术方式治疗动脉瘤性脑内血肿,安全、有效,可有效降低患者复发率、再出血率及死亡率,显著提高神经功能恢复水平和日常生活活动能力,从而改善动脉瘤性脑内血肿患者的整体预后。Objective:To investigate the security and effect of neurovascular complex surgery in the treatment of aneurysmal intracranial hemorrhage patients.Methods:Forty-nine patients with aneurysmal intracranial hematoma admitted to Tongling People's Hospital from December 2019 to June 2022 were selected as the research objects for a historical control study,including 23 patients who received traditional surgical treatment from June 2019 to may 2020 as the control group,and 26 patients who received combined neurovascular surgery from June 2020 to June 2022 as the observation group.Relevant data were collected to analyze the therapeutic effect of neurovascular combined surgery on aneurysmal intracranial hematoma.Results:The observation group was significantly better than the control group in the level of neurological function recovery level and Barthel index(P<0.05).Recurrence rate,rebleeding rate and mortality rate in the observation group were significantly lower than those in the control group(P<0.05).There was no significance in the disease change rate and intracranial infection rate between two groups(all P>0.05).Conclusion:Neurovascular complex surgery is safe and effective in treating the aneurysmal intracranial hematoma patients.Neurovascular complex surgery can effectively reduce the recurrence rate,rebleeding rate and mortality of patients,and can significantly improve the recovery level of nerve function and the ability of daily living activities,so as to improve the overall prognosis of patients with aneurysmal intracerebral hematoma.

关 键 词：神经血管复合手术 颅内动脉瘤 脑内血肿 

分 类 号：R651.11[医药卫生—外科学]