神经介入联合显微神经外科治疗动脉瘤性蛛网膜下腔出血对患者预后及神经功能的影响分析

Effect of Neurointerventional Combined with Microscopic Neurosurgery on the Prognosis and Neurological Function of Patients with Aneurysmal Subarachnoid Hemorrhage

目的:探讨神经介入联合显微镜神经外科治疗动脉瘤性蛛网膜下腔出血(aSAH)对患者预后及神经功能的影响。方法:将笔者所在医院2019年3月-2020年3月收治的64例aSAH患者作为观察对象。以抽签法将患者随机分为对照组和观察组,各32例。对照组采用血管内治疗联合常规外科手术治疗,观察组采用神经介入联合显微镜神经外科治疗。比较两组神经功能、预后情况及术后并发症发生情况。结果:两组术前NIHSS评分比较差异无统计学意义(P>0.05);术后3个月,观察组NIHSS评分低于对照组,差异有统计学意义(P<0.05)。观察组预后恢复良好率高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:神经介入联合显微镜神经外科治疗aSAH的效果显著,可改善患者预后,促进神经功能恢复,且能降低并发症风险。

Objective:To investigate the effect of neurointerventional combined with microscopic neurosurgery on the prognosis and neurological function of aneurysmal subarachnoid hemorrhage (aSAH) patients.Method:A total of 64 patients with aSAH admitted in our hospital from March 2019 to March 2020 were taken as the observation objects.The patients were randomly divided into the control group and the observation group by lottery,with 32 cases in each group.The control group was treated with endovascular therapy combined with conventional surgery,while the observation group was treated with neurointerventional combined with microscopic neurosurgery.Neurological function,prognosis and postoperative complications were compared between the two groups.Result:There was no significant difference in NIHSS score between the two groups before operation (P>0.05),but the NIHSS score of the observation group was lower than that of control group 3 months after operation,and the difference was statistically significant (P<0.05).The prognosis recovery good rate in the observation group was higher than that of the control group,the difference was statistically significant (P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant (P<0.05).Conclusion:Neurointerventional combined with microscopic neurosurgery in the treatment of aSAH has a significant effect,which can improve the prognosis of patients,promote neurological function recovery,and reduce the risk of complications.