神经内镜治疗脑出血患者对术后神经功能的影响  

Clinical impact of neuroendoscopic treatment on postoperative neurological function in patients with cerebral hemorrhage

作　　者：张旭 何建青 王玉海 Zhang Xu;He jianqing;Wang Yuhai(Department of Neurosurgery,the No.904 Hospital of PLA,Wuxi,214044,China)

机构地区：[1]解放军联勤保障部队第904医院神经外科,无锡214000

出　　处：《立体定向和功能性神经外科杂志》2024年第5期281-284,共4页Chinese Journal of Stereotactic and Functional Neurosurgery

基　　金：联勤保障部队第904医院院管课题项目(编号:MS202109);联勤保障部队医学重点学科自主科研专项立项项目(编号:XK20240102)。

摘　　要：目的研究神经内镜在脑出血手术治疗后对术后神经功能的影响。方法选取2023年1月~2024年1月本院收治的60例脑出血患者为研究对象,将其随机分为对照组和观察组,各30例,对照组患者接受外科手术治疗,观察组患者接受神经内镜颅内血肿清除术治疗。结果采用神经内镜治疗脑出血患者术后1个月、术后3个月时,观察组的神经功能评分均优于对照组(P<0.05)。观察组术后并发症(颅内感染、术后再出血、交通性脑积水)发生率均低于对照组,且差异具有统计学意义。观察组术后1个月、3个月ADL(日常生活能力)评分也优于对照组(P<0.05)。结论神经内镜下颅内血肿清除术在改善术后神经功能状态方面取得了显著效果。Objective To study the effect of neuroendoscopy on postoperative neurological function after surgical treatment of cerebral hemorrhage.Methods This study selected 60 patients with cerebral hemorrhage admitted to our hospital from January 2023 to January 2024 as the research subjects.They were randomly divided into a control group and an observation group,with 30 patients in each group.The control group received surgical treatment,while the observation group received neuroendoscopic intracranial hematoma removal surgery.Results When using neuroendoscopy to treat patients with cerebral hemorrhage,the neurological function scores of the observation group were better than those of the control group at 1 month and 3 months after surgery(P<0.05).The incidence of postoperative complications(intracranial infection,postoperative rebleeding,and communicating hydrocephalus)in the observation group was lower than that in the control group,and the difference was statistically significant.The ADL(daily living ability)score of the observation group was also better than that of the control group at 1 and 3 months after surgery(P<0.05).Conclusion Neuroendoscopic removal of intracranial hematoma has achieved significant results in improving the postoperative neurological function of patients.

关 键 词：神经内镜 脑出血 神经功能 

分 类 号：R743.34[医药卫生—神经病学与精神病学]