微创穿刺清除术治疗高血压性脑出血患者的效果

Effects of minimally invasive puncture removal in treatment of patients with hypertensive intracerebral hemorrhage

目的:观察微创穿刺清除术治疗高血压性脑出血患者的效果。方法:回顾性分析2018年1月至2020年1月该院收治的104例高血压性脑出血患者的临床资料,按手术方式不同将其分成观察组与对照组各52例。对照组采用小骨窗开颅手术治疗,观察组采用微创穿刺清除术治疗,比较两组治疗效果、治疗前后神经功能缺损程度评分和并发症发生率。结果:观察组治疗总有效率为96.15%(50/52),明显高于对照组的78.85%(41/52),差异有统计学意义(P<0.05);观察组美国国立卫生研究院卒中量表评分低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为5.77%,明显低于对照组的21.15%,差异有统计学意义(P<0.05)。结论:微创穿刺清除术治疗高血压性脑出血患者可提高治疗总有效率,降低神经功能缺损程度评分和并发症发生率,其效果优于小骨窗开颅手术治疗。

Objective:To observe effects of minimally invasive puncture removal in treatment of patients with hypertensive intracerebral hemorrhage.Methods:A retrospective analysis of the clinical data of 104 patients with hypertensive intracerebral hemorrhage admitted to the hospital from January 2018 to January 2020 was performed.According to different surgical methods,they were divided into observation group and control group,52 cases in each.The control group was treated with small bone window craniotomy,while the observation group was treated with minimally invasive puncture removal.The treatment effects,the scores of neurological deficits before and after the treatment,and the incidence of complications were compared between the two groups.Results:The total effective rate of treatment in the observation group was 96.15%(50/52),which was significantly higher than the control group of 78.85%(41/52),and the difference was statistically significant(P<0.05).The score of the National Institutes of Health Stroke Scale in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Further,the complication rate in the observation group was 5.77%,which was significantly lower than 21.15%in the control group,and the difference was statistically significant(P<0.05).Conclusions:Minimally invasive puncture removal for the patients with hypertensive intracerebral hemorrhage can improve the total effective rate of treatment,and reduce the score of neurological deficits and the incidence of complications.Moreover,it is superior to small bone window craniotomy.