骨窗血肿清除术与微创穿刺血肿引流术治疗高血压脑出血的临床效果对比  

Comparison of Clinical Effects of Bone Window Hematoma Evacuation and Minimally Invasive Puncture Hematoma Drainage in the Treatment of Hypertensive Cerebral Hemorrhage

作　　者：余昕昕 Yu Xinxin(Department of Neurosurgery,Huanggang Huangmei People's Hospital(Huanggang Huangmei Medical Community General Hospital),Huanggang 435500,Hubei Province,China)

机构地区：[1]黄冈市黄梅县人民医院(黄冈市黄梅县医共体总医院)神经外科,湖北黄冈435500

出　　处：《中外医药研究》2025年第2期40-42,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:对比骨窗血肿清除术与微创穿刺血肿引流术治疗高血压脑出血的临床效果。方法:选取黄冈市黄梅县人民医院2019年1月—2023年12月收治的85例高血压脑出血患者作为研究对象,应用随机数字表法分为观察组(43例,微创穿刺血肿引流术)和对照组(42例,骨窗血肿清除术)。对比两组围术期相关指标、术后恢复时间、神经功能、日常生活能力、生活质量、康复效果、并发症发生率。结果:观察组手术时间短于对照组,术中出血量低于对照组(P<0.001);两组血肿清除率比较,差异无统计学意义(P>0.05);观察组下床活动时间、住院时间短于对照组(P<0.001);治疗后,两组美国国立卫生研究院卒中量表评分降低,日常生活能力量表、健康调查简表评分升高,观察组优于对照组(P<0.05);观察组康复优良率高于对照组(P=0.033);观察组术后并发症发生率低于对照组(P=0.021)。结论:骨窗血肿清除术、微创穿刺血肿引流术均可以有效清除高血压脑出血患者的颅内血肿,但微创穿刺血肿引流术手术时间较短,术中出血量较少,术后恢复时间短,能够促进患者神经功能恢复,提高日常生活能力、生活质量,降低并发症发生率,康复效果较好。Objective:To compare the clinical effects of bone window hematoma evacuation and minimally invasive puncture hematoma drainage in the treatment of hypertensive cerebral hemorrhage.Methods:A total of 85 patients with hypertensive cerebral hemorrhage admitted to Huanggang Huangmei People's Hospital from January 2019 to December 2023 were selected as the research subjects.The patients were divided into an observation group(43 cases,minimally invasive puncture hematoma drainage)and a control group(42 cases,bone window hematoma evacuation)by random number table method.The perioperative related indicators,postoperative recovery time,neurological function,daily living ability,quality of life,rehabilitation effect,and complication rate were compared between the two groups.Results:The operation time of the observation group was shorter than that of the control group,and the intraoperative blood loss was lower than that of the control group(P<0.001).There was no statistically significant difference in the hematoma clearance rate between the two groups(P>0.05).The time of getting out of bed and the length of hospital stay in the observation group were shorter than those in the control group(P<0.001).After treatment,the scores of the National Institutes of Health Stroke Scale of the two groups decreased,and the scores of the Daily Living Ability Scale and the Health Survey Short Form increased,and the observation group was better than the control group(P<0.05).The excellent and good rehabilitation rate in the observation group was higher than that in the control group(P=0.033).The incidence of postoperative complications in the observation group was lower than that in the control group(P=0.021).Conclusion:Both bone window hematoma evacuation and minimally invasive puncture hematoma drainage can effectively remove intracranial hematoma in patients with hypertensive cerebral hemorrhage.However,minimally invasive puncture hematoma drainage has a shorter operation time,less intraoperative bleeding,and a shorter postoperative rec

关 键 词：骨窗血肿清除术 微创穿刺血肿引流术 高血压脑出血 神经功能 

分 类 号：R651.1[医药卫生—外科学]