内镜微创手术治疗脑出血的临床效果研究  

Clinical Effect Research of Endoscopic Minimally Invasive Surgery in Treatment of Cerebral Hemorrhage

作　　者：陆向文 任玉萍 LU Xiangwen;REN Yuping(Wuwei City Minqin County People's Hospital,Wuwei,Gansu,733399;Wuwei City Minqin County Community Health Service Center,Wuwei,Gansu,733399)

机构地区：[1]武威市民勤县人民医院,甘肃武威733399 [2]武威市民勤县社区卫生服务中心,甘肃武威733399

出　　处：《智慧健康》2024年第21期21-24,共4页Smart Healthcare

基　　金：科技人才和科学普及计划—自然科学基金《限制性液体复苏对失血性休克复苏患者血清炎症因子水平影响的临床研究》(项目编号:WW2202RPZ039)。

摘　　要：目的 探究内镜微创手术治疗脑出血的临床效果。方法 选取2021年12月—2023年1月本院收治的脑出血患者110例为研究对象,根据治疗措施分为观察组和对照组,每组55例。其中,观察组采用内镜微创手术,对照组采用开颅血肿清除术,术后开展随访观察效果,记录手术操作时间、术中出血量、手术切口长度、术后住院时间及术后并发症发生情况,评估治疗总有效率情况,采用神经功能缺损评分、日常生活活动能力、心理健康评分对患者预后进行评估。结果 观察组手术操作时间、术后住院时间均短于对照组,术中出血量少于对照组,手术切口长度短于对照组(P<0.05)。术后并发症发生情况,观察组明显少于对照组(P<0.05)。观察组治疗总有效率高于对照组(P<0.05)。治疗前,两组神经功能缺损评分、日常生活活动能力、心理健康评分对比无差异(P>0.05);治疗后,观察组各评分均优于对照组(P<0.05)。结论 内镜微创手术治疗脑出血展现出显著的临床效果,其安全性与可行性均达到较高水平,有效改善了患者的预后状况,值得临床推广。Objective To explore clinical effect of endoscopic minimally invasive surgery in treatment of cerebral hemorrhage.Methods The paper chose 110 patients with cerebral hemorrhage in our hospital and diagnosed as stroke through comprehensive diagnosis from December 2021 to January 2023,and divided them into observation group and control group according to treatment measures.Observation group(n=55,treated with endoscopic minimally invasive surgery)and control group(n=55,with craniotomy hematoma removal surgery)were followed up to observe effect after surgery.Surgical operation time,intraoperative blood loss,surgical incision length,postoperative length of stay,and incidence of postoperative complications were recorded to evaluate total effective rate of treatment.Prognosis of patients was evaluated based on neurological deficit scores,daily living activity ability,and psychological health scores.Results Observation group had shorter surgical operation time and postoperative hospital stay than control group,less intraoperative bleeding,and shorter surgical incision length than control group(P<0.05).Incidence of postoperative complications in observation group was significantly lower than control group(P<0.05).Total effective rate of observation group was higher than control group(P<0.05).Before treatment,there was no difference in scores of neurological deficits,daily living activities,and mental health between two groups(P>0.05).After treatment,observation group had better scores than control group(P<0.05).Conclusion Endoscopic minimally invasive surgery can achieve significant clinical effect for cerebral hemorrhage,with high levels of safety and feasibility,can improve prognosis of patients,which is worthy of clinical promotion.

关 键 词：内镜微创手术 脑出血 并发症 开颅血肿清除术 神经功能缺损评分 

分 类 号：R651.12[医药卫生—外科学]