摘要
目的观察颅内微创血肿清除术与传统开颅清除血肿手术对高血压脑出血的治疗效果。方法选取2015年1月—2018年12月该院140例接受外科手术治疗的高血压脑出血患者,按照随机抽签法平分为对照组和观察组,各70例,对照组实施传统开颅清除血肿手术治疗,观察组实施颅内微创血肿清除术治疗,观察两组患者治疗后的临床疗效、神经功能缺损评分(FAM)、颅内压力(ICP)、术后并发症发生率、住院费用及住院时间。结果观察组优良率78.57%高于对照组57.14%(χ~2=7.368,P<0.05),观察组FAM(15.66±2.44)分高于对照组(t=7.920,P<0.05),观察组ICP和对照组对比差异无统计学意义(P>0.05);观察组术后并发症发生率(14.29%)低于对照组(38.57%)(χ~2=10.617,P<0.05);且观察组住院费用及住院时间均少于对照组(P<0.05)。结论相比传统开颅清除血肿手术,高血压脑出血患者选择颅内微创血肿清除术治疗疗效更佳,不仅缩短住院时间和减少住院费用,神经功能和颅内压还有所改善,且安全可靠,适于临床应用。
Objective To observe the therapeutic effect of intracranial minimally invasive hematoma evacuation and traditional craniotomy to remove hematoma.Methods From January 2015 to December 2018,140 patients with hypertensive cerebral hemorrhage who underwent surgical treatment in our hospital were randomly divided into control group and observation group according to random sampling method,70 cases in each group.The control group was treated with traditional craniotomy hematoma surgery,the observation group was treated with intracranial minimally invasive hematoma evacuation,and the clinical efficacy,neurological deficit score(FAM),intracranial pressure(ICP),postoperative complication rate,and hospitalization cost and hospitalization time of the two groups were observed.Results The excellent and good rate of observation group was 78.57%higher than that of the control group 57.14%(χ^2=7.368,P<0.05).The observation group FAM(15.66±2.44)points was higher than the control group(t=7.920,P<0.05).There was no significant difference between the control group and the control group(P>0.05).The postoperative complication rate in the observation group(14.29%)was lower than that in the control group(38.57%)(χ^2=10.617,P<0.05).The hospital stay was less than the control group(P<0.05).Conclusion Compared with traditional craniotomy for hematoma evacuation,patients with hypertensive cerebral hemorrhage have better intracranial minimally invasive hematoma evacuation,which not only shortens hospital stay and hospitalization costs,but also improves neurological function and intracranial pressure,safe and reliable,suitable for clinical applications.
作者
何挺
HE Ting(Department of Neurosurgery,Laibin People's Hospital,Laibin,Guangxi,546100 China)
出处
《世界复合医学》
2019年第2期139-141,共3页
World Journal of Complex Medicine
关键词
微创血肿清除术
开颅清除血肿
高血压
脑出血
Minimally invasive hematoma removal
Craniotomy to remove hematoma
Hypertension
Cerebral hemorrhage
