微创钻孔引流和开颅血肿清除术治疗中老年高血压脑出血患者的临床应用价值

Clinical value of minimally invasive drilling drainage and craniotomy for the treatment of hypertensive intracerebral hemorrhage in middle-aged and elderly patients

目的探讨微创钻孔引流和开颅血肿清除术治疗中老年高血压脑出血患者的临床应用价值。方法选取2018年6月至2020年6月本院收治的86例中老年高血压脑出血患者作为研究对象,按随机数字表法分为观察组和对照组,每组43例。对照组行开颅血肿清除术,观察组行微创钻孔引流术,比较两组血肿量、神经功能及并发症发生率。结果术后,两组血肿量均少于治疗前,且观察组少于对照组,差异有统计学意义(P<0.05)。术后,两组美国国立卫生研究院卒中量表(NIHSS)评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为4.65%,低于对照组的18.60%,差异有统计学意义(P<0.05)。结论与开颅血肿清除术相比,微创钻孔引流术治疗中老年高血压脑出血效果更佳,可获得更好的血肿清除效果,神经功能恢复良好,并发症少,患者预后好。

Objective To explore the clinical value of minimally invasive drilling drainage and craniotomy for the treatment of hypertensive intracerebral hemorrhage in middle-aged and elderly patients.Methods 86 middle-aged and elderly patients with hypertensive intracerebral hemorrhage admitted to our hospital from June 2018 to June 2020 were selected as the research subjects,and they were divided into observation group and control group according to random number table method,with 43 cases in each group.The control group received craniotomy hematoma removal,and the observation group received minimally invasive drilling and drainage,the hematoma volume,neurological function and incidence of complications were compared between the two groups.Results After operation,the amount of hematoma in the two groups was less than that before treatment,and the observation group was less than the control group,the difference was statistically significant(P<0.05).After operation,the National Institute of Health stroke scale(NIHSS)score of the two groups was lower than those before operation,and the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.65%,lower than 18.60% in the control group(P<0.05).Conclusion Compared with craniotomy for hematoma removal,minimally invasive drilling and drainage is more effective in the treatment of hypertensive intracerebral hemorrhage in middle-aged and elderly patients.It can obtain better hematoma removal effect,good neurological function recovery,fewer complications and good prognosis.