开颅手术与微创手术治疗高血压脑出血的临床效果分析

Clinical Effect Analysis of Craniotomy and Minimally Invasive Surgery for Hypertensive Intracerebral Hemorrhage

目的:探究开颅手术与微创手术治疗高血压脑出血的临床效果分析。方法:选取我院72例行高血压脑出血的手术患者,分成对照组和试验组,对照组实行传统开颅手术、试验组实施微创手术。收集两组患者的一般性信息及术前术后日常活动功能量表评分(ADL)、格拉斯哥结局评分(GOS)、美国国立卫生研究院卒中量表(NIHSS),后进行统计学比较。结果:观察组患者住院时间、手术时间、术中出血量的结果明显优于对照组,其差异经过统计学分析,具有意义(P<0.05)。手术前后两组患者ADL、GOS、NIHSS评分统计情况:术前两组患者ADL评分、GOS评分、NIHSS评分对比差异无统计学意义(P>0.05),术后两组ADL、GOS评分较术前升高,NIHSS评分较前降低,术后两组患者ADL评分、GOS评分、NIHSS评分差异有统计学意义(P<0.05)。结论:微创手术治疗高血压脑出血的临床效果比开颅手术更优。

Objective:To explore the clinical effects of craniotomy and minimally invasive surgery in the treatment of hypertensive cerebral hemorrhage.Methods:72 patients with hypertensive cerebral hemorrhage in our hospital were selected and divided into control group and experimental group.Traditional craniotomy was performed in the control group and minimally invasive surgery was performed in the experimental group.General information,preoperative and postoperative daily Activity Function Scale(ADL),Glasgow Outcome Scale(GOS)and National Institutes of Health Stroke Scale(NIHSS)of 2 groups were collected,and statistically compared.Results:The duration of hospitalization,operation time and intraoperative blood loss in the observation group were significantly better than those in the control group,and the difference was statistically significant(P<0.05).ADL,GOS and NIHSS scores of patients in the two groups before and after surgery:There were no statistically significant differences in ADL score,GOS score and NIHSS score between the 2 groups before surgery(P>0.05),ADL and GOS scores between the 2 groups after surgery were higher than before,while NIHSS score was lower than before,and there were statistically significant differences in ADL score,GOS score and NIHSS score between the 2 groups after surgery(P<0.05).Conclusion:Minimally invasive surgery is more effective than craniotomy in treating hypertensive intracerebral hemorrhage.