期刊文献+

微创颅内血肿清除术治疗高血压脑出血的临床疗效分析 被引量:1

Clinical Efficacy Analysis of Minimally Invasive Evacuation of Intracranial Hema-toma for Hypertensive Cerebral Hemorrhage
下载PDF
导出
摘要 目的探讨微创颅内血肿清除术治疗高血压脑出血的临床疗效。方法选取2020年1月—2022年5月四川省广元市中心医院收治的80例高血压脑出血患者作为研究对象,用随机数表法将其分对照组和观察组,各40例。对照组接受开颅手术治疗,观察组接受神经内镜微创颅内血肿清除术治疗。比较两组围术期指标、生活自理能力、神经功能缺损程度、意识障碍程度评分和并发症等。结果观察组手术时间为(102.32±35.12)min,短于对照组的(221.35±48.26)min,术中出血量为(64.24±22.02)mL,少于对照组的(262.25±52.06)mL,差异有统计学意义(t=12.613、22.155,P<0.001)。治疗后,观察组ADL、GCS、NIHSS评分均优于对照组,差异有统计学意义(P<0.05)。比较并发症发生率(10.00%vs 32.50%),观察组更低,差异有统计学意义(χ^(2)=6.050,P<0.05)。结论微创颅内血肿清除术治疗高血压脑出血,相比于开颅手术可更好地控制术中出血程度,缩短手术时间,患者术后能快速恢复生活自理能力,且手术并发症发生率。 Objective To explore the clinical efficacy of minimally invasive evacuation of intracranial hema-toma for hypertensive cerebral hemorrhage.Methods Eighty cases of hypertensive cerebral hemorrhage patients admitted to Guangyuan Central Hospital from January 2020 to May 2022 were selected as the study subjects,and they were divided into control group and observation group,40 cases each,using the random number table method.The control group received craniotomy treatment and the observation group received neuroendoscopic minimally invasive evacuation of intracranial hema-toma treatment.The two groups were compared in terms of perioperative indexes,ability to take care of themselves,degree of neurological deficits,degree of consciousness impairment score and complications.Results The operation time of the observation group was(102.32±35.12)min,shorter than that of the control group(221.35±48.26)min,and the intraoperative blood loss was(64.24±22.02)mL,less than that of the control group(262.25±52.06)mL,the difference was statistically significant(t=12.613,22.155,P<0.001).After treatment,the scores of ADL,GCS and NIHSS in the observation group were better than those in the control group,and the difference was statistically significant(P<0.05).Compared with the complication rate(10.00%vs 32.50%),the observation group had a lower complication rate,the difference was statistically significant(χ^(2)=6.050,P<0.05).Conclusion Minimally invasive evacuation of intracranial hema-toma for hypertensive cerebral hemorrhage can better control the degree of intraoperative bleeding and shorten the operation time compared with open surgery,and patients can quickly recover their self-care ability after surgery with low incidence of surgical complications.
作者 吴政俊 何明方 王运锋 WU Zhengjun;HE Mingfang;WANG Yunfeng(Department of Cerebrovascular Disease,Guangyuan Central Hospital,Guangyuan,Sichuan Province,628000 China;Department of Neurology,Nanchong Central Hospital,Nanchong,Sichuan Province,637000 China)
出处 《世界复合医学》 2023年第2期181-184,共4页 World Journal of Complex Medicine
基金 南充市社会科学研究“十三五”规划项目(2019B028)。
关键词 高血压脑出血 微创颅内血肿清除术 ADL评分 GCS评分 NIHSS评分 并发症 Hypertensive cerebral hemorrhage Minimally invasive evacuation of intracranial hema-toma ADL score GCS score NIHSS score Complications
  • 相关文献

参考文献18

二级参考文献171

共引文献606

同被引文献9

引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部