微创手术在高血压脑出血治疗中的效果观察

Effect Observation on Minimally Invasive Surgery for Hypertensive Intracerebral Hemorrhage

目的观察高血压脑出血治疗中微创手术的效果。方法回顾性选取2020年2月-2022年2月本院收治的高血压脑出血患者100例,依据手术方法分为微创手术组、开颅手术组两组,每组各50例。统计分析两组血肿清除效果、颅内压、神经功能、日常生活活动能力、生活质量、临床疗效、围术期指标、术后并发症发生情况。结果微创手术组和开颅手术组患者的血肿清除率分别为96.00%(48/50)和98.00%(49/50),差异不显著(χ^(2)=0.000,P>0.05)。手术前,两组患者的颅内压、NDS评分、MBI评分、生活质量评分之间的差异均不显著(P>0.05);手术后,两组患者的颅内压、NDS评分均低于手术前(P<0.05),MBI评分、生活质量评分均高于手术前(P<0.05),微创手术组患者的颅内压、NDS评分均低于开颅手术组(P<0.05),MBI评分、生活质量评分均高于开颅手术组(P<0.05)。微创手术组患者的总有效率96.00%(48/50)高于开颅手术组82.00%(41/50)(χ^(2)=5.005,P<0.05)。微创手术组患者的术中失血量少于开颅手术组(P<0.05),手术时间、住院时间均短于开颅手术组(P<0.05),住院费用低于开颅手术组(P<0.05)。微创手术组患者的术后并发症发生率14.00%(7/50)低于开颅手术组38.00%(19/50)(χ^(2)=7.484,P<0.05)。结论高血压脑出血治疗中微创手术的效果较开颅手术好。

Objective To observe effect of minimally invasive surgery in treatment of hypertensive intracerebral hemorrhage.Methods The paper reviewed and chose 100 patients with hypertensive cerebral hemorrhage admitted to our hospital from February 2020 to February 2022,and divided them into two groups based on surgical methods:minimally invasive surgery group and craniotomy group,with 50 cases in each group.Hematoma clearance effect,intracranial pressure,neurological function,daily living activity,life quality,clinical effect,perioperative indicators and postoperative complications were statistically analyzed between two groups.Results There was no significant difference between hematoma clearance rate of 96.00%(48/50)and 98.00%(49/50)between minimally invasive surgery group and craniotomy group(χ^(2)=0.000,P>0.05).Before surgery,there was no significant difference in intracranial pressure,NDS scores,MBI scores and life quality scores between two groups(P>0.05).After surgery,intracranial pressure and NDS scores of both groups were lower than before surgery(P<0.05),while MBI scores and life quality scores were higher than before surgery(P<0.05).Intracranial pressure and NDS scores in minimally invasive surgery group were lower than craniotomy group(P<0.05)and the MBI scores and life quality scores were higher than craniotomy group(P<0.05).Total effective rate of minimally invasive surgery group was 96.00%(48/50),higher than 82.00%(41/50)of craniotomy group,(χ^(2)=5.005,P<0.05).Intraoperative blood loss of minimally invasive surgery group was lower than craniotomy group(P<0.05),surgical time and length of stay was shorter than craniotomy group(P<0.05),hospitalization cost was lower than craniotomy group,(P<0.05).Incidence of postoperative complications in minimally invasive surgery group was 14.00%(7/50),lower than 38.00%(19/50)in craniotomy group(χ^(2)=7.484,P<0.05).Conclusion Minimally invasive surgery can achieve better effect than craniotomy in treatment of hypertensive intracerebral hemorrhage.