硬通道术较开颅术对脑出血临床治疗效果及对炎性因子水平和应激指标的影响

The effect of rigid channel surgery on the clinical treatment of cerebral hemorrhage and complications

分析硬通道术较开颅术对脑出血临床治疗效果及对炎性因子水平和应激指标的影响。选取高血压脑出血患者,对照组采用传统开颅术治疗,观察组采用硬通道微创穿刺术治疗,观察两组临床疗效。结果显示观察组手术时间和住院时间均短于对照组,术中出血量及住院总费用少于对照组(P<0.05);治疗后C反应蛋白(CRP)、降钙素原(PCT)、皮质醇(Cor)及5-羟色胺(5-HT)水平观察组均低于对照组(P<0.05)。两组患者治疗后日常生活能力评分均较治疗前改善,观察组患者治疗后日常生活能力评分优于对照组(P<0.05)。因此,硬通道微创穿刺术治疗高血压脑出血可缩短手术时间,减少术中出血量,降低患者应激反应和炎性因子水平,提高患者生活能力,且安全性高。

In order to analyze the clinical therapeutic effect,inflammatory factor level and stress index of intracerebral hemorrhage treated by hard channel surgery compared with craniotomy.The patients with hypertensive intracerebral hemorrhage were treated with traditional craniotomy and the observation group were treated with hard channel minimally invasive puncture.The results showed that the operation time and hospitalization time in the observation group were shorter than those in the control group,and the amount of intraoperative blood loss in the observation group was less than that in the control group ( P <0.05).After treatment,the levels of C-reactive protein (CRP),calcitonin (PCT),cortisol (Cor) and 5-hydroxytryptamine (5-HT) were lower than those in the control group ( P <0.05).The scores of daily living ability of the two groups after treatment were better than those before treatment,and the scores of the ability of daily living of the observation group were better than those of the control group after treatment ( P <0.05).Therefore,minimally invasive puncture of hard channel can shorten the operation time,reduce the amount of intraoperative bleeding and reduce the stress reaction of patients with hypertensive intracerebral hemorrhage and inflammatory factor level,to improve the patient's living ability,and with high safety.