机器人引导下穿刺引流10~30 mL脑内小血肿的临床研究

Clinical study of puncture and drainage of 10~30 mL small intracerebral hematoma with robot-assistance

目的探讨机器人引导下穿刺引流10~30 mL脑内小血肿的临床效果。方法采用回顾性病例对照研究。选取2019年1月至2022年12月在梅州市人民医院接受治疗的83例高血压脑出血患者,依据治疗方法不同分为机器人手术组(观察组)39例和保守治疗组(对照组)44例。比较两组患者临床效果、住院期间并发症发生情况、住院时间及住院费用、出院时及出院3个月时基础性日常生活能力量表(basic activity of daily living scale,BADL)评分及美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分。结果①入院时两组NIHSS评分和BADL评分无统计学差异(P>0.05);但出院时、出院3个月随访时观察组NIHSS评分更低(P<0.05),BADL评分更高(P<0.05)。②观察组和对照组的平均住院时间分别为(12.8±3.3)d和(13.8±4.0)d,两组比较无统计学差异(P=0.252)。观察组和对照组的住院费用分别为(38496.23±6369.06)元和(19258.36±4068.68)元,观察组高于对照组(P<0.05)。③观察组和对照组的并发症发生率分别为2.6%(1/39)和6.8%(3/44)。观察组发生穿刺行程区出血1例,对照组并发肺部感染3例,两组比较无统计学差异(P>0.05)。结论机器人引导下穿刺引流10~30 mL脑内小血肿的疗效较好,术后并发症少,操作便捷简单,可促进患者术后功能的恢复,有效提高患者的生活质量。

Objective To explore the clinical effect of robot-assisted puncture of 10~30 mL small intracerebral hematoma.Methods A retrospective case-control study was conducted in 83 patients with 10~30 mL small hypertensive intracerebral hemorrhage who received treatment at Meizhou People's Hospital from January 2019 to December 2022.They were divided into a robot-assisted puncture group(the observation group)of 39 cases and a conservative treatment group(the control group)of 44 cases based on different treatment methods.It was compared of the clinical outcomes,incidence of complications,length of hospital stay and hospitalization costs,basic activity of daily living scale(BADL)and National Institute of Health stroke scale(NIHSS)between two groups at discharge and 3 months after discharge.Results①There was no statisticallysignificant difference in NIHSS and BADL scores between the two groups at admission(P>0.05).But at dis-charge and 3-month follow-up,the observation group had lower NIHSS scores(P<0.05)and higher BADL scores(P<0.05).The average hospitalization time of the observation group and the control group was(12.8±3.3)days and(13.8±4.0)days respectively,with no statistically significant difference(P=0.252).The hospitalization expenses of the observation group and the control group was(38496.23±6369.06)yuan and(19258.36±4068.68)yuan respectively,with the observation group being higher than the control group(P<0.05).The incidence of complications in the observation group and the control group was 2.6%(1/39)and 6.8%(3/44)respectively.There was 1 case of bleeding in the puncture route area in the observation group,and 3 cases of pulmonary infection in the control group.There was no statistically significant difference between the two groups(P>0.05).Conclusions Robot-assisted puncture and drainage of 10~30 mL small intracerebral hematoma has better therapeutic effects,fewer postoperative complications with convenient and simple operation,which can promote postoperative functional recovery of patients,and effectively improve their quality of life.