微创软通道早期治疗高血压性脑出血的预后分析

Prognostic analysis of early treatment of hypertensive intracerebral hemorrhage with minimally invasive soft channel

目的探究微创软通道早期治疗高血压性脑出血的价值。方法70例高血压性脑出血患者,按照治疗措施的差异分为试验组与对照组,各35例。对照组进行开颅手术治疗,试验组进行微创软通道治疗。比较两组治疗效果、围术期指标、美国国立卫生研究院卒中量表(NIHSS)评分、日常生活活动能力量表(ADL)评分、生活质量评分、并发症发生情况。结果试验组总有效率为94.29%,高于对照组的77.14%,差异有统计学意义(P<0.05)。试验组手术用时、引流时间、出院时间分别为(32.74±10.30)min、(5.07±1.14)d、(9.82±2.74)d,均短于对照组的(103.69±17.82)min、(8.26±2.07)d、(15.93±3.41)d,差异有统计学意义(P<0.05)。治疗后,两组NIHSS评分较治疗前降低,ADL评分较治疗前升高,且试验组NIHSS评分(8.55±1.26)分低于对照组的(13.20±2.08)分,ADL评分(70.15±7.43)分高于对照组的(57.32±8.75)分,差异有统计学意义(P<0.05)。试验组精神健康、情感职能、生理职能、总体健康、生理功能、躯体疼痛、活力、社会功能评分分别为(65.45±10.23)、(63.20±11.17)、(61.78±8.64)、(64.69±7.63)、(67.18±6.33)、(65.38±7.90)、(66.82±7.45)、(67.30±8.22)分,均高于对照组的(50.13±11.41)、(52.09±10.25)、(11.36±8.71)、(53.75±8.09)、(59.76±5.82)、(57.02±8.43)、(55.43±8.30)、(53.95±7.44)分,差异有统计学意义(P<0.05)。试验组并发症发生率为5.71%,低于对照组的25.71%,差异有统计学意义(P<0.05)。结论高血压性脑出血患者接受微创软通道早期治疗干预,可缩短患者的康复时间,提高治疗效果,更好改善神经功能缺损程度及日常生活能力,且并发症发生率更低,意义重大。

Objective To investigate the value of early treatment of hypertensive intracerebral hemorrhage with minimally invasive soft channel.Methods A total of 70 patients with hypertensive intracerebral hemorrhage were divided into experimental group and control group according to the difference of treatment measures,with 35 cases in each group.The control group was treated with craniotomy,and the experimental group was treated with minimally invasive soft channel treatment.Both groups were compared in terms of therapeutic effect,perioperative indicators,National Institutes of Health stroke scale(NIHSS)score,activities of daily living(ADL)score,quality of life score,and complications.Results The total effective rate of the experimental group was 94.29%,which was higher than 77.14%of the control group,and the difference was statistically significant(P<0.05).The operation time,drainage time and discharge time of the experimental group were(32.74±10.30)min,(5.07±1.14)d and(9.82±2.74)d,respectively,which were shorter than(103.69±17.82)min,(8.26±2.07)d and(15.93±3.41)d of the control group,and the differences were statistically significant(P<0.05).After treatment,the NIHSS scores of the two groups were lower than those of this group before treatment,and the ADL scores were higher than those of this group before treatment;the NIHSS score(8.55±1.26)points of the experimental group was lower than(13.20±2.08)points of the control group,and the ADL score(70.15±7.43)points was higher than(57.32±8.75)points of the control group;all the differences were statistically significant(P<0.05).The scores of mental health,role-emotional,role-physical,general health,physical functioning,bodily pain,vitality,and social functioning of the experimental group were(65.45±10.23),(63.20±11.17),(61.78±8.64),(64.69±7.63),(67.18±6.33),(65.38±7.90),(66.82±7.45),and(67.30±8.22)points,which were higher than(50.13±11.41),(52.09±10.25),(11.36±8.71),(53.75±8.09),(59.76±5.82),(57.02±8.43),(55.43±8.30),and(53.95±7.44)points in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the experimental group was 5.71%,which was lower than 25.71%in the control group,and the difference was statistically significant(P<0.05).Conclusion Patients with hypertensive intracerebral hemorrhage who receive early treatment and intervention of minimally invasive soft channel can shorten the recovery time of patients,improve the therapeutic effect,and better improve the degree of neurological deficit and activities of daily living,and the incidence of complications is lower,which is of great significance.