摘要
目的:探究微创穿刺血肿引流术(MIPHD)与小骨窗血肿清除术(SWC)对高血压脑出血(HICH)的近期效果及术后复发危险因素。方法:选取2018年6月-2020年6月在重庆海吉亚肿瘤医院行手术治疗的高血压脑出血患者80例,采用随机数字表法等分为对照组与研究组,各40例。对照组行SWC治疗,研究组则行MIPHD治疗,分析两组手术近期效果,采用线性多元Logistic回归方程分析术后复发危险因素。结果:研究组近期治疗优良率(97.5%)高于对照组(87.5%),差异有统计学意义(P<0.05),两组均无死亡患者;高血压病程长、合并糖尿病、发病至手术时间长、术前收缩压高、血肿形状不规则、破入脑室、术前GCS评分低、术前出血量多、凝血功能异常、合并术后并发症及住院时间长是HICH患者术后复发的危险因素(P<0.05)。结论:MIPHD治疗对高血压脑出血患者的效果更优,且分析发现高血压脑出血患者术后复发的危险因素诸多,医护人员需加强重视,做好术前准备及诊断等工作,以降低术后复发率。
Objective:To explore the short-term effect of minimally invasive puncture hematoma drainage(MIPHD)and small bone window hematoma removal(SWC)on hypertensive cerebral hemorrhage and the risk factors for postoperative recurrence.Method:A total of 80 patients with hypertensive intracerebral hemorrhage who received surgical treatment in the hospital from June 2018 to June 2020 were selected and divided into two groups,control group and study group,with 40 cases each,using the random number table method.The control group received SWC treatment,while the study group received MIPHD treatment.The short-term outcomes of the two groups were analyzed,and the risk factors for postoperative recurrence were analyzed using linear multiple Logistic regression equation.Result:The short-term excellent and good rate of the study group was 97.5%,significantly higher than the 87.5%of the control group,and the difference was statistically significant(P<0.05).There was no death in the two groups after investigation.Long course of hypertension,diabetes mellitus,long time from onset to operation,high preoperative systolic blood pressure,irregular shape of hematoma,penetration into the ventricle,low preoperative GCS score,excessive preoperative blood loss,abnormal coagulation function,combined postoperative complications Long hospital stay is the risk factor for postoperative recurrence in HICH patients(P<0.05).Conclusion:Compared with SWC,MIPHD treatment is more effective for patients with hypertensive cerebral hemorrhage,and analysis shows that there are many risk factors for postoperative recurrence in patients with hypertensive intracerebral hemorrhage.Therefore,medical staff should pay more attention and make better preoperative preparation and diagnosis to reduce postoperative recurrence rate.
作者
全凯
QUAN Kai(Chongqing Hygeia Tumor Hospital,Chongqing 401331,China)
出处
《中外医学研究》
2021年第14期82-85,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
