摘要
目的:分析超早期小骨窗微创手术治疗高血压脑出血(HCH)患者的效果。方法:选择2020年3月-2021年3月本院收治的102例HCH患者,按随机数表分为对照组(51例)和研究组(51例)。对照组实施大骨瓣开颅术,研究组实施超早期小骨窗微创手术,比较两组临床效果,治疗前后神经功能及日常生活能力,术后并发症。结果:研究组总有效率94.12%,高于对照组的78.43%(χ^(2)=5.299,P<0.05);研究组手术用时(32.36±9.65)min,血肿消退时间(5.17±1.25)d,住院时间(16.83±5.74)d,均优于对照组(t=20.976、6.813、4.647,P<0.05);治疗后,研究组Barthel评分为(85.38±6.17)分,高于对照组的(72.22±7.42)分;NIHSS评分为(9.43±2.49)分,低于对照组的(11.67±3.35)分(t=9.754、3.833,P<0.05);研究组并发症发生率比对照组低(χ^(2)=4.320,P<0.05)。结论:超早期小骨窗微创手术应用于HCH患者中,可缩短患者手术用时、血肿消退时间及住院时间,提高神经功能及日常生活能力,能减少并发症发生。
Objective:To analyze the effect of ultra-early small bone window minimally invasive surgery on patients with hypertensive cerebral hemorrhage(HCH).Method:From March 2020 to March 2021,a total of 102 patients with HCH were selected and divided into the control group(51 cases)and study group(51 cases)according to the random number table.The large bone flap craniotomy was performed in the control group,the ultra-early small bone window minimally invasive surgery was performed in the study group.Clinical effect,neurological function and daily living ability before and after treatment,postoperative complications were compared between the two groups.Result:The total effective rate of the study group was 94.12%,which was higher than that of the control group 78.43%(χ^(2)=5.299,P<0.05);the operation time of the study group was(32.36±9.65)min,hematoma regression time of the study group was(5.17±1.25)d and hospitalization time of the study group was(16.83±5.74)d,which were better than those of the control group(t=20.976,6.813,4.647,P<0.05);after treatment,the Barthel score of the study group was(85.38±6.17)points,which was higher than(72.22±7.42)points of the control group,the NIHSS score of the study group was(9.43±2.49)points,which was lower than(11.67±3.35)points of control group(t=9.754,3.833,P<0.05);the incidence of complications in the study group was lower than that in the control group(χ^(2)=4.320,P<0.05).Conclusion:The ultra-early small bone window minimally invasive surgery used in HCH patients can shorten the operation time,hematoma resolution time and hospitalization time,improve nerve function and ability of daily living,and reduce the occurrence of complications.
作者
陆大鸿
崔连旭
何睿瑜
刘党奇
谭宝东
彭四维
李昊旻
LU Dahong;CUI Lianxu;HE Ruiyu;LIU Dangqi;TAN Baodong;PENG Siwei;LI Haomin(不详;Foshan First People’s Hospital,Foshan 528000,China)
出处
《中外医学研究》
2021年第36期158-161,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
超早期
小骨窗微创手术
高血压脑出血
临床效果
神经功能
Ultra-early
Small bone window minimally invasive surgery
Hypertensive cerebral hemorrhage
Clinical effect
Nerve function
