颅内微创血肿清除术与开放手术治疗高血压脑出血的疗效比较分析

Comparative Analysis of Intracranial Minimally Invasive Hematoma Evacuation and Open Surgery for Hypertensive Intracerebral Hemorrhage

目的对比开放手术治疗与颅内微创血肿清除术两种方式治疗高血压脑出血患者的疗效。方法选取2017年1月—2018年12月期间治疗高血压脑出血的患者30例,依据治疗方式的不同分为观察组15例以及对照组15例。观察组实施颅内微创血肿清除术进行治疗,对照组实施开放手术治疗。比较这两种方式治疗的效果、围术期指标变化以及预后评分。结果观察组患者手术用时均值在(103.53±11.24)min较对照组的(101.48±10.88)min要高,但是差异无统计学意义(t=0.508,P=0.616>0.05);观察组患者术中出血量均值在(98.46±12.53)mL低于对照组的(176.24±30.43)mL,比较后差异有统计学意义(t=9.154,P=0.000<0.05)。且观察组血肿清除率均值在(87.33±2.89)%高于对照组的(78.73±4.95)%,差异有统计学意义(t=5.811,P=0.000<0.05)。观察组血预后评分均值在(3.74±0.33)分高于对照组的(2.32±0.49)分,差异有统计学意义(t=9.309 P=0.000<0.05)。同时观察组并发症的发生率6.67%低于对照组的40.00%,比较后差异有统计学意义(χ^2=4.658,P=0.031<0.05)。观察组治疗有效率100.00%显著高于对照组的73.33%,差异有统计学意义(χ^2=4.615,P=0.031<0.05)。结论在治疗高血压脑出血患者中使用微创血肿清除术治疗的较开放手术治疗的效果要更好,值得应用推广。

Objective To compare the efficacy of open surgery and intracranial minimally invasive hematoma evacuation in the treatment of patients with hypertensive intracerebral hemorrhage.Methods Thirty patients with hypertensive cerebral hemorrhage during the period from January 2017 to December 2018 were enrolled.According to the different treatment methods,15 cases were observed in the observation group and 15 cases in the control group.The observation group was treated with intracranial minimally invasive hematoma evacuation,and the control group was treated with open surgery.Compare the effects of these two treatments,perioperative index changes,and prognosis scores.Results The mean time of operation in the observation group was(103.53±11.24)min higher than that of the control group(101.48±10.88)min after comparison,but the difference was not statistically significant(t=0.508,P=0.616>0.05).The mean bleeding volume was(98.46±12.53)mL lower than that of the control group(176.24±30.43)mL.The difference was statistically significant(t=9.154,P=0.000<0.05).The mean hematoma clearance rate in the observation group was(87.33±2.89)%higher than that in the control group(78.73±4.95)%.The difference was statistically significant(t=5.811,P=0.000<0.05).The mean blood outcome score of the observation group was(3.74±0.33)points higher than that of the control group(2.32±0.49)points,the difference was statistically significant(t=9.309,P=0.000<0.05).At the same time,the incidence of complications in the observation group was 6.67%lower than that 40.00%in the control group,and the difference was statistically significant(χ^2=4.658,P=0.000<0.05).The effective rate of treatment in the observation group was 100.00%significantly higher than that in the control group(73.33%).The difference was statistically significant(χ^2=4.615,P=0.032<0.05).Conclusion The use of minimally invasive hematoma evacuation in the treatment of hypertensive cerebral hemorrhage is more effective than open surgery.It is worthy of application.