脑出血患者应用不同手术方案清除血肿的效果研究  

Effect of Different Surgical Protocols to Remove Hematoma in Patients with Cerebral Hemorrhage

作　　者：项崇 陆彬 袁雪松[1,2] 魏文锋 侯小山[1,2] Xiang Chong;Lu Bin;Yuan Xuesong;Wei Wenfeng;Hou Xiaoshan(Wujin Hospital Affiliated to Jiangsu University,Changzhou 213002,Jiangsu Province,China;Department of Neurosurgery,Wujin Clinical College of Xuzhou Medical University,Changzhou 213000,Jiangsu Province,China)

机构地区：[1]江苏大学附属武进医院,江苏常州213002 [2]徐州医科大学武进临床学院神经外科,江苏常州213000

出　　处：《中外医药研究》2024年第32期70-72,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析脑出血患者应用不同手术方案清除血肿的临床治疗效果。方法:将2016年1月—2021年1月江苏大学附属武进医院收治的60例脑出血患者作为研究对象,随机分为对照组(实施开颅血肿清除术)和观察组(开展颅内血肿微创穿刺清除术),每组30例。对比两组治疗效果、神经功能缺损评分、手术相关指标、并发症发生率。结果:观察组总有效率高于对照组(P=0.037);治疗后,观察组美国国立卫生研究院神经功能缺损量表评分低于对照组(P<0.001);观察组手术时间、住院时间短于对照组,术中出血量少于对照组(P<0.001);观察组并发症发生率低于对照组(P=0.001)。结论:通过对脑出血患者采用颅内血肿微创穿刺清除术的治疗效果优于开颅血肿清除术,能有效改善患者神经功能,降低并发症发生率,促进患者术后康复。Objective:To analyze the clinical therapeutic effect of different surgical schemes to remove hematoma in patients with cerebral hemorrhage.Methods:Sixty patients with cerebral hemorrhage admitted to Wujin Hospital Affiliated to Jiangsu University from January 2016 to January 2021 were taken as the study objects,and randomly divided into control group(performed craniotomy hematoma removal)and observation group(performed minimally invasive puncture removal of intracranial hematoma),with thirty cases in each group.The therapeutic effect,neurological deficit score,operative related index and complication rate of the two groups were compared.Results:The total effective rate of observation group was higher than that of control group(P=0.037);after treatment,the score of the national institutes of health neurological impairment scale in the observation group was lower than that in the control group(P<0.001);the operation time and hospital stay in the observation group were shorter than those in the control group(P<0.001);the complication rate of the observation group was lower than that of the control group(P=0.001).Conclusion:The treatment effect of minimally invasive puncture removal of intracranial hematoma in patients with cerebral hemorrhage is better than that of craniotomy hematoma removal,which can effectively improve the neurological function of patients,reduce the incidence of complications,and promote postoperative rehabilitation of patients.

关 键 词：脑出血 颅内血肿微创穿刺清除术 开颅血肿清除术 神经功能 

分 类 号：R651.1[医药卫生—外科学]