摘要
目的探究利用小骨窗微创手术在治疗脑出血方面的临床疗效与价值。方法选择该院2018年6月—2020年5月收治的60例脑出血患者,以随机抽签法分组,每组30例。对照组以常规开颅清血肿手术治疗,观察组以小骨窗微创手术治疗,对比两组治疗效果及临床指标。结果与对照组的73.33%相比,观察组治疗有效率96.70%明显更高,差异有统计学意义(χ^(2)=4.706,P=0.030)。与对照组指标相比,观察组手术耗时及住院耗时都比较短,差异有统计学意义(P<0.05),观察组患者术中出血量比对照组少,拔管时间比对照组早,差异有统计学意义(P<0.05)。治疗后,观察组患者NIHSS评分相比对照组更低,BI指数评分相比对照组更高,差异有统计学意义(P<0.05)。结论脑出血采用小骨窗微创手术治疗,可有效清除颅内血肿,手术耗时短,对颅脑损伤小,术后恢复效果更好,且患者神经功能及生活自理能力均有效恢复。
Objective To explore the clinical efficacy and value of minimally invasive surgery using small bone windows in the treatment of cerebral hemorrhage.Methods The 60 patients with cerebral hemorrhage admitted to the hospital from June 2018 to May 2020 were selected and divided into groups by random drawing,with 30 cases in each group.The control group was treated with conventional craniotomy to clear hematoma,and the observation group was treated with small bone window minimally invasive surgery.The treatment effects and clinical indicators of the two groups were compared.Results Compared with 73.33%in the control group,the effective rate of treatment in the observation group was 96.70%,the difference was statistically significant(χ^(2)=4.706,P=0.030).Compared with the index of the control group,the operation time and hospitalization time of the observation group were shorter,the difference was statistically significant(P<0.05),the blood loss during operation was less in the observation group than the control group,and the extubation time was earlier than the control group,the difference was statistically significant(P<0.05).After treatment,the NIHSS score of the observation group was lower than that of the control group,and the BI index score was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Cerebral hemorrhage is treated with small bone window minimally invasive surgery,which can effectively remove intracranial hematoma,the operation time is short,the brain injury is small,the postoperative recovery effect is better,and the patient's nerve function and self-care ability are effectively restored.
作者
任苏亮
REN Suliang(Second Department of Surgery(Neurosurgery),Heze Hospital of Traditional Chinese Medicine,Heze,Shandong Province,274000 China)
出处
《系统医学》
2021年第12期99-101,119,共4页
Systems Medicine
关键词
脑出血
小骨窗微创手术
开颅手术
清血肿
效果
Cerebral hemorrhage
Minimally invasive surgery of small bone window
Craniotomy
Hematoma removal
Effect
