微创穿刺术治疗大量脑出血的临床效果评价  

Clinical Effect Evaluation of Minimally Invasive Puncture in the Treatment of Massive Cerebral Hemorrhage

作　　者：申华龙 钱耀华 金科 SHEN Hualong;QIAN Yaohua;JIN Ke(Department of Neurosurgery,Taicang Hospital of Traditional Chinese Medicine,Taicang 215400,Ji-angsu,China)

机构地区：[1]太仓市中医医院神经外科,江苏太仓215400

出　　处：《世界复合医学(中英文)》2024年第11期127-131,共5页World Journal of Complex Medicine

摘　　要：目的评估大量脑出血临床治疗中,运用微创穿刺术治疗的价值。方法按照手术方法不同,将2022年1月—2023年12月在太仓市中医医院神经外科接受治疗的60例大量脑出血患者分为对照组(30例,实施开颅手术)、研究组(30例,实施微创穿刺术)。比较两组的治疗总有效率、并发症发生率、神经功能缺损情况、运动功能情况、神经功能指标、炎症指标水平。结果治疗后,相比于对照组,研究组美国国立卫生院卒中量表评分、S100β蛋白、胶质纤维酸性蛋白、β神经生长因子、肿瘤坏死因子-α、白细胞介素-6、超敏-C反应蛋白水平均更低,运动功能量表评分更高,差异有统计学意义(P均<0.05)。研究组并发症发生率相比于对照组更低,差异有统计学意义(P<0.05)。研究组治疗总有效率[96.67%(29/30)]相比于对照组[80.00%(24/30)]更高,差异有统计学意义(χ^(2)=4.043,P=0.044)。结论运用微创穿刺术治疗大量脑出血的临床疗效较高,可以降低炎症因子、神经功能指标水平,具有一定的临床应用价值。Objective To evaluate the value of minimally invasive puncture in the clinical treatment of massive cerebral hemorrhage.Methods According to different surgical methods,sixty patients with massive cerebral hemorrhage who treated in the Department of Neurosurgery of Taicang Hospital of Traditional Chinese Medicine from January 2022 to December 2023 were divided into the control group(30 cases,treated with craniotomy)and the study group(30 cases,treated with minimally invasive puncture).The total treatment efficiency,complication rate,neurological deficit,motor function,neurological function indexes and inflammatory indexes were compared between the two groups.Results After treatment,compared with the control group,the score of National Institutes of Health Stroke Scale,levels of S100βprotein,glial fibrillary acidic protein,βnerve growth factor,tumor necrosis factor-α,interleukin-6 and high-sensitivity C-reactive protein was lower,and the score of Fugl-Meyer Assessment Scale was higher,the differences were statistically significant(all P<0.05).Compared with the control group,the incidence of complications in the study group was lower,and the difference was statistically significant(P<0.05).The total effective rate of treatment in the study group[96.67%(29/30)]was higher than that in the control group[80.00%(24/30)],and the difference was statistically significant(χ^(2)=4.043,P=0.044).Conclusion The clinical efficacy of minimally invasive puncture in the treatment of massive cerebral hemorrhage is high,which can reduce the levels of inflammatory factors and neurological function indexes,and has certain clinical application value.

关 键 词：大量脑出血 微创穿刺术 并发症 

分 类 号：R4[医药卫生—临床医学]