微创血肿清除术与开颅手术治疗高血压脑出血的效果对比

Comparison of Minimally Invasive Hematoma Removal and Craniotomy in the Treatment of Hypertensive Cerebral Hemorrhage

目的:通过微创血肿清除方法与传统开颅手术治疗高血压脑出血方式进行比较,观察两种不同治疗方法的临床疗效。方法:选取2018年1月—2019年12月济源市人民医院收治的160例脑出血患者作为研究对象,按双盲法均分两组,采取常规开颅手术治疗脑出血作为干预方法的患者作为对照组,采取微创血肿清除术干预方法的患者作为实验组。观察采取两种不同治疗干预方案后患者的治疗效果、各项数据改善情况以及不良反应发生情况。结果:实验组患者临床疗效显著高于对照组患者,差异有统计学意义(χ^(2)=3.518,P<0.05);实验组患者术中出血量、手术时间、住院时间均显著优于对照组患者,差异有统计学意义(t=26.391、5.618、4.913,P<0.05);实验组患者术后血肿、水肿面积均显著优于对照组,差异有统计学意义(t=3.819、9.261,P<0.05);实验组患者术后出现并发症几率低于对照组患者,差异有统计学意义(P<0.05)。结论:微创血肿清除方式与传统开颅清除血肿方式存在明显优点,帮助患者有效清除血肿同时,减少对患者正常组织的损伤,缓解治疗压力,帮助患者更好预后。

Objective:The minimally invasive hematoma removal method was compared with the traditional craniotomy in the treatment of hupertensive cerebral hemorrhage to observe the clinical efficacy of the two different treatment methods.Methods:A total of 160 patients with cerebral hemorrhage admitted to the hospital from January 2018 to December 2019 were selected as the research objects and evenly divided into two groups according to the double-blind method.The patients treated with conventional craniotomy for cerebral hemorrhage as the intervention method were used as the control group,and the patients treated with minimally invasive hematoma removal as the experimental group.The therapeutic effect,data improvement and the occurrence of adverse reactions were observed after two different therapeutic interventions.Results:The clinical efficacy of patients in the experimental group was significantly higher than that of patients in the control group,and the difference was statistically significant(χ^(2)=3.518,P<0.05).The intraoperative bleeding,operative time and hospital stay of patients in the experimental group were significantly better than those in the control group,with statistically significant differences(t=26.391,5.618,4.913,P<0.05).The postoperative hematoma and edema areas of patients in the experimental group were significantly better than those in the control group,with statistically significant differences(t=3.819,9.261,P<0.05).The patients in the experimental group were less likely to have postoperative complications than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The minimally invasive hematoma removal method has obvious advantages over the traditional open cranial hematoma removal method,helping patients to effectively remove the hematoma while reducing the damage to the patients’normal tissues,relieving the treatment pressure,and helping patients to have a better prognosis,which is worthy of wide clinical application.