神经内镜微创手术治疗高血压脑出血的效果分析

Effect Analysis of Neuroendoscopic Minimally Invasive Surgery in Treatment of Hypertensive Cerebral Hemorrhage

目的:分析神经内镜微创手术治疗高血压脑出血的效果。方法:选取2020年1月—2022年12月新疆生产建设兵团第一师医院收治的高血压脑出血患者120例作为研究对象,依据双色球法分为观察组与对照组,各60例。对照组采取开颅血肿清除术治疗,观察组采取神经内镜微创手术治疗。比较两组临床疗效。结果:观察组手术时间短于对照组,术中出血量少于对照组,血肿清除率高于对照组,差异有统计学意义(P<0.001)。观察组术后并发症发生率低于对照组,差异有统计学意义(P=0.031)。观察组治疗总有效率高于对照组,差异有统计学意义(P=0.028)。观察组重症监护室观察时间及整体治疗时间短于对照组,差异有统计学意义(P<0.001)。结论:神经内镜微创手术治疗高血压脑出血的效果较好,其手术时间短、术中出血量少、血肿清除率高,术后并发症发生率低,患者恢复速度快。

Objective:To analyze the effect of neuroendoscopic minimally invasive surgery in treatment of hypertensive cerebral hemorrhage.Methods:A total of 120 patients with hypertensive cerebral hemorrhage admitted to the First Division Hospital of Xinjiang Production and Construction Corps from January 2020 to December 2022 were selected as the study subjects.According to the two-color pellet method,the patients were divided into observation group and control group,with 60 cases in each group.The control group received craniotomy hematoma removal surgery,and the observation group received neuroendoscopic minimally invasive surgery.The clinical efficacy of the two groups was compared.Results:The operation time in the observation group was shorter than that in the control group,the intraoperative blood loss in the observation group was less than that in the control group,the hematoma removal rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.001).The incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.031).The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.028).The observation time in the intensive care unit and overall treatment time in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.001).Conclusion:The neuroendoscopic minimally invasive surgery is effective in treatment of hypertensive cerebral hemorrhage,with short operation time,few intraoperative blood loss,high hematoma removal rate,low incidence of postoperative complications,and rapid recovery of patients.