保守治疗与内镜治疗手术临界点高血压性脑出血疗效的比较研究

A comparative study on the effect of conservative treatment and endoscopic treatment on hypertensive cerebral hemorrhage at the critical point of operation

目的比较保守治疗与内镜治疗手术临界点高血压性脑出血的临床疗效。方法选取达州市达川区人民医院2017年2月—2018年8月收治的手术临界点高血压性脑出血患者56例,按照随机数字表法分为对照组和试验组,各28例。对照组给予保守治疗,试验组给予内镜手术治疗。比较两组Barthel指数评分、并发症发生率、血肿清除率,治疗前后Fugl-Meyer评分、格拉斯哥昏迷量表(GCS)评分。结果试验组Barthel指数评分优于对照组,并发症发生率、血肿清除率高于对照组(P<0.05)。治疗前两组Fugl-Meyer评分、GCS评分比较,差异无统计学意义(P>0.05);治疗后试验组Fugl-Meyer评分、GCS评分高于对照组(P<0.05)。结论保守治疗与内镜治疗手术临界点高血压性脑出血的临床疗效均具有一定效果,但内镜治疗患者日常生活能力、肢体运动功能较好,血肿清除率较高,意识恢复较好,但安全性较低,应根据患者具体情况进行治疗。

Objective To compare the clinical effect of conservative treatment and endoscopic treatment on hypertensive cerebral hemorrhage at the critical point of operation.Methods A total of 56 cases of patients with hypertensive cerebral hemorrhage were selected from February 2017 to August 2018 in Dachuan District People’s Hospital,which were randomly divided into control group and experimental group according to random number table,28 cases in each group.The control group was given conservative treatment,and the experimental group was given endoscopic surgery.The Barthel index score,complication rate,hematoma clearance rate,Fugl Meyer score and GCS score before and after treatment were compared between the two groups.Results The Barthel index score of the experimental group was better than the control group,and the incidence rate of complication and the hematoma clearance rate were higher than the control group(P<0.05).There was no significant difference in Fugl Meyer score and GCS score between the two groups before treatment(P>0.05);after treatment,Fugl Meyer score and GCS score in the experimental group were higher than the control group(P<0.05).Conclusion The clinical effect of conservative treatment and endoscopic treatment on hypertensive cerebral hemorrhage at the critical point of operation has a certain effect,but endoscopic treatment has better ability of daily life,limb motor function,higher hematoma clearance rate,better consciousness recovery,but lower safety,so it should be treated according to the specific situation of patients.