颅内血肿微创引流术治疗老年脑外伤硬膜外血肿的效果及炎症因子分析

Analysis on the effect of minimally invasive drainage of intracranial hematoma and the inflammatory factors on elderly patients with traumatic epidural hematoma

目的:脑外伤硬膜外血肿老年患者应用微创引流手术治疗的效果与炎症因子情况分析。方法:选取95例脑外伤硬膜外血肿老年患者,将其随机分成两组。对照组47例予以开颅清除手术,研究组48例予以微创引流手术方案。分析两组疗效相关指标与炎症因子。结果:治疗后,研究组手术时间、出血量、住院时间与对照组比较有统计学差异(P<0.05);研究组CRP、TNF-a水平均较对照组低,差异具有统计学意义(P<0.05)。结论:脑外伤硬膜外血肿老年患者应用微创引流手术治疗,能有效缩短手术及住院时间,改善患者炎症因子水平,具有一定临床应用价值。

Objective:To analyze the effect of minimally invasive drainage and the inflammatory factors on the elderly patients with epidural hematoma after traumatic brain injury.Methods:95 elderly patients with epidural hematoma caused by traumatic brain injury were randomized into two groups.47 patients in the control group were treated with craniotomy,while 48 patients in the study group underwent minimally invasive drainage treatment.The efficacy-related indicators and inflammatory factors in the two groups were compared.Results:After treatment,the operation time,blood loss,and hospitalization time in the study group were lower than in the control group,which was of statistical difference(P<0.05);level of CRP and TNF-a in study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:For elderly patients with epidural hematoma after traumatic brain injury,the treatment with minimally invasive drainage can effectively shorten the time of surgery and hospitalization,improve the level of inflammatory factors in patients,and have certain clinical application value.