显微手术治疗脑动脉瘤的临床疗效及对神经功能评分的影响探讨

Clinical Efficacy of Microsurgery in the Treatment of Cerebral Aneurysms and Its Influence on Neurological Scores

目的研究显微手术治疗脑动脉瘤的临床疗效及对神经功能评分的影响。方法随机选取2018年1月—2023年6月期间就诊于东海县人民医院的脑动脉瘤患者60例,通过随机数表法分组,对照组30例接受血管介入治疗,观察组30例接受显微手术治疗。比较两组血清炎性因子水平、术中及术后相关指标、并发症发生情况、临床疗效、神经功能评分、日常生活活动能力评分、预后情况。结果术后,观察组各项血清炎性因子水平均低于对照组,差异有统计学意义(P均<0.05)。观察组术中出血量、手术耗时、术后恢复时间均比对照组更优,差异有统计学意义(P均<0.05)。观察组并发症发生率为(6.67%),低于对照组的26.67%,差异有统计学意义(P<0.05)。观察组总有效率高于对照组,差异有统计学意义(P<0.05)。术后,观察组各项评测指标评分均优于对照组,差异有统计学意义(P均<0.05)。结论对脑动脉瘤患者实施显微手术治疗安全有效,炎性应激反应更轻,更有助于患者恢复和提高预后效果。

Objective To study the clinical effect of microsurgery on cerebral aneurysms and its effect on neurological scores.Methods Sixty patients with cerebral aneurysm admitted to Donghai County People's Hospital from January 2018 to June 2023 were randomly selected and divided into groups by random number table method.30 patients in the control group received vascular interventional therapy,and 30 patients in the observation group received microsurgery.The levels of serum inflammatory factors,intraoperative and postoperative indicators,complications,clinical efficacy,neurological function score,activity of daily living score and prognosis were compared between the two groups.Results After operation,the levels of serum inflammatory factors in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The amount of blood loss,operation time and postoperative recovery time in the observation group were better than those in the control group,and the differences were statistically significant(all P<0.05).The incidence of complications in the observation group was(6.67%),lower than that in the control group(26.67%),and the difference was statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After operation,the scores of each evaluation index in the observation group were better than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Microsurgery for cerebral aneurysm patients is safe and effective,less inflammatory stress reaction,more conducive to patient recovery and improve prognosis.