软通道微创穿刺术在治疗高血压性脑出血中的临床研究

Clinical Study of Soft Channel Minimally Invasive Puncture in the Treatment of Hypertensive Intracerebral Hemorrhage

目的探析高血压性脑出血(HICH)外科治疗应用软通道微创穿刺术的应用价值。方法选取2019年6月至2020年12月本院神经外科收治的60例HICH患者,以患者自愿为原则进行分组,观察组(20例)行软通道微创穿刺术,对照组(40例)行开颅手术。比较两组不同术式的临床疗效、住院指标及治疗前后神经功能恢复指标情况。结果 (1)两组HICH患者实施不同手术的疗效评价:观察组的实施疗效率为95.00%,明显高于对照组82.50%的疗效率,P<0.05,差异有统计学意义。(2)两组HICH患者住院指标对比:观察组的住院指标明显优于对照组,住院时间更短,住院费用更低,P<0.05,差异有统计学意义。(3)两组HICH患者神经功能恢复指标对比:经过手术治疗后,观察组的神经功能恢复指标(MoCA、NIHSS)明显优于对照组,P<0.05,差异有统计学意义。结论软通道微创穿刺术治疗HICH临床效果显著,可有效改善头痛、呕吐、运动障碍等相关症状,经济效益更高,神经功能恢复良好,值得临床推广。

Objective To explore the application value of soft channel minimally invasive puncture in the surgical treatment of hypertensive intracerebral hemorrhage(HICH). Methods Sixty patients with HICH admitted to the Department of Neurosurgery of our hospital from June 2019 to December 2020 were selected and divided into two groups according to the principle of voluntary. The observation group(20 cases) underwent soft channel minimally invasive puncture, and the control group(40 cases) underwent craniotomy. The clinical efficacy, hospitalization indexes and neurological function recovery indexes before and after treatment were compared between the two groups. Results(1) Two groups of HICH patients with different surgical effect evaluation: The implementation of the treatment efficiency of the observation group was 95.00%, significantly higher than that of the control group of 82.50%, P<0.05, the difference was statistically significant.(2) Comparison of two groups of HICH patients’ hospitalization indicators: The observation group was significantly better than the control group, shorter hospitalization time, lower hospitalization expenses, P<0.05, the difference was statistically significant.(3) Comparison of two groups of HICH patients with neurological function recovery index: After surgery, the observation group of neurological function recovery indicators(MoCA, NIHSS) was significantly better than the control group, P<0.05, and the difference was statistically significant. Conclusion The clinical effect of soft channel minimally invasive puncture in the treatment of hich is significant, which can effectively improve headache, vomiting, dyskinesia and other related symptoms, with higher economic benefits and good recovery of nerve function, which is worthy of clinical promotion.