高血压脑出血患者实施微创清除术及开颅手术效果差异探讨

Exploration of the Difference Effect of Minimally Invasive Debridement and Craniotomy in Patients with Hypertensive Cerebral Hemorrhage

目的:探讨高血压脑出血患者实施微创清除术与开颅手术效果差异。方法:选取笔者所在医院2018年7月-2019年7月收治的高血压脑出血患者88例,随机分为两组,对照组行传统开颅手术,观察组行微创清除术。对比两组手术时间、术中出血量及手术治疗效果、术后并发症发生情况。结果:对照组手术时间为(77.48±18.38)min,长于观察组的(47.39±12.77)min,差异有统计学意义(t=8.918,P<0.05);对照组术中出血量为(102.38±23.22)ml,多于观察组的(48.34±10.23)ml,差异有统计学意义(t=14.127,P<0.05);对照组手术治疗总有效率为77.27%,低于观察组的95.45%,差异有统计学意义(χ~2=6.175,P<0.05);对照组术后并发症发生率为29.55%,高于观察组的9.09%,差异有统计学意义(χ~2=5.906,P<0.05)。结论:高血压脑出血患者实施微创清除术进行手术治疗,其疗效高于开颅手术,且手术时间更短,术中出血量更少,并发症发生率更低,有利于提高预后效果。

Objective:To explore the difference effect of minimally invasive debridement and craniotomy in patients with hypertensive intracerebral hemorrhage.Method:A total of 88 patients with hypertensive intracerebral hemorrhage from July 2018 to July 2019 were randomly divided into two groups,the control group underwent traditional craniotomy,and the observation group underwent minimally invasive debridement.The operation time,intraoperative blood loss,surgical treatment effect and postoperative complications were compared between the two groups.Result:The operation time of the control group was(77.48±18.38)min,which was longer than(47.39±12.77)min in the observation group.the difference was statistically significant(t=8.918,P<0.05).The intraoperative bleeding of the control group was(102.38±23.22)ml,which was more than(48.34±10.23)ml in the observation group,the difference was statistically significant(t=14.127,P<0.05).The total effective rate of operation treatment in the control group was 77.27%,which was lower than 95.45%in the observation group,the difference was statistically significant(χ~2=6.175,P<0.05).The postoperative complications of the control group was 29.55%,which was higher than 9.09%in the observation group,the difference was statistically significant(χ~2=5.906,P<0.05).Conclusion:Minimally invasive debridement for hypertensive intracerebral hemorrhage patients,the curative effect is higher than that of craniotomy,and the operation time is shorter,the intraoperative blood loss is less,and the incidence of complications is lower,which is conducive to improve the prognosis.