神经内镜疗法在高血压基底节区脑出血的临床疗效研究

Clinical Efficacy of Neuroendoscopic Therapy on Hypertensive Basal Ganglia Intracerebral Hemorrhage

目的:分析神经内镜疗法对高血压基底节区脑出血的临床疗效。方法:2019年6月-2020年6月收治高血压性基底节区脑出血患者100例,依照治疗方法不同分为两组,各50例。对照组接受开颅血肿清除术治疗,观察组接受神经内镜血肿清除术治疗。比较两组治疗效果。结果:观察组术后美国国立卫生研究院卒中量表评分低于对照组,功能独立性评定标准及日常生活活动能力评分均高于对照组,差异均有统计学意义(P<0.05);观察组麻醉时间、入住ICU时间、住院时间、手术时间、术中出血量、术后血肿量及并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论:应用神经内镜治疗基底节区高血压脑出血,能够取得满意效果。

Objective:To analyze the clinical efficacy of neuroendoscopic therapy on hypertensive basal ganglia intracerebral hemorrhage.Methods:From June 2019 to June 2020,100 patients with hypertensive basal ganglia intracerebral hemorrhage were treated and divided into two groups according to different treatment methods with 50 cases in each group.The control group received craniotomy hematoma removal.The observation group received neuroendoscopic hematoma removal.The therapeutic effects between the two groups were compared.Results:Postoperative National Institutes of Health Stroke Scale score of the observation group was lower than that of the control group,functional independence measure criteria and activities of daily living score were higher than those of the control group,the differences were statistically significant(P<0.05).The duration of anesthesia,ICU stay,hospital stay,operation time,intraoperative blood loss volume,postoperative hematoma volume and complication rate in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Neuroendoscopic therapy can achieve satisfactory results in the treatment of hypertensive basal ganglia intracerebral hemorrhage.