高血压性基底节区脑出血的微创治疗效果

Minimally Invasive Treatment Effect of Cerebral Hemorrhage in Hypertensive Basal Ganglia

目的对微创穿刺引流术治疗高血压性基底节区脑出血的疗效进行分析。方法选择我院收治的95 例基底节区高血压脑出血患者作为本次研究的纳入对象,按照患者病历单双数将其划分为对照组和观察组。采用不同治疗方式治疗两组患者,并对其疗效进行分析和比较。结果对照组患者的手术完成时间为(125.1±15.8)min,引流量为(77.3±10.2)mL,术中出血量为(487.7±13.1)mL,住院时间为(19.0±3.4)d;观察组患者的手术完成时间为(43.9±6.4)min,引流量为(35.5±3.8)mL,术中出血量为(112.5±11.7)mL,住院时间为(11.5±1.2)d。两组患者在手术完成时间、引流量、术中出血量和住院时间方面的差异有统计学意义(P < 0.05)。对照组的NIHSS 评分为(31.1±4.2),CSS 评分为(26.1±3.7);观察组的NIHSS 评分为(21.2±2.3),CSS 评分为(16.9±1.7)。在神经功能评分方面两组患者相比均差异显著(P < 0.05)。结论采用微创穿刺引流术治疗高血压性基底节区脑出血能够有效减少手术时间,并且降低术中出血量,对于患者神经功能的恢复效果更好。

Objective To analyze the effect of minimally invasive puncture drainage in the treatment of cerebral hemorrhage in hypertensive basal ganglia. Methods Ninety-five patients with hypertensive cerebral hemorrhage in the basal ganglia admitted to our hospital were enrolled as subjects in this study. They were divided into control group and observation group according to the patient's medical records. Two groups of patients were treated with different treatment methods, and their effects were analyzed and compared. Results The operation time of the control group was (125.1±15.8) min, the drainage volume was (77.3±10.2) mL, the intraoperative blood loss was (487.7±13.1) mL, and the hospitalization time was (19.0±3.4) d. The patient's operation completion time was (43.9±6.4) min, the drainage volume was (35.5±3.8) mL, the intraoperative blood loss was (112.5±11.7) mL, and the hospitalization time was (11.5±1.2) d. There were significant differences in the time of surgery completion, drainage, intraoperative blood loss, and length of hospital stay between the two groups (P<0.05). The NIHSS score of the control group was (31.1±4.2) and the CSS score was (26.1±3.7). The NIHSS score of the observation group was (21.2±2.3) and the CSS score was (16.9±1.7). There were significant differences in the neurological function scores between the two groups (P<0.05). Conclusion Minimally invasive puncture drainage for cerebral hemorrhage in hypertensive basal ganglia can effectively reduce the operation time and the amount of intraoperative blood loss, which is better for the recovery of neurological function.