微创软通道引流术和小骨窗开颅血肿清除术治疗高血压性脑出血的临床效果比较

Comparison of Clinical Effect of Minimally Invasive Soft Channel Drainage and Small Bone Window Craniotomy Hematoma Removal in Treatment of Hypertensive Intracerebral Hemorrhage

目的:比较微创软通道引流术和小骨窗开颅血肿清除术治疗高血压性脑出血的临床效果。方法:选取2022年1—12月邹城市人民医院收治的高血压性脑出血患者60例作为研究对象,随机分为参比组(30例)与分析组(30例)。参比组实施小骨窗开颅血肿清除术,分析组实施微创软通道引流术。比较两组手术相关指标、神经功能、自理能力、并发症发生情况。结果:分析组手术时间、住院时间短于参比组,术中出血量少于参比组(P<0.001)。术后3个月,两组神经功能评分低于术前,且分析组低于参比组(P<0.05);两组自理能力评分高于术前,且分析组高于参比组(P<0.05)。分析组并发症总发生率低于参比组(P=0.019)。结论:微创软通道引流术治疗高血压性脑出血,可缩短手术时间,减少术中出血量,促进患者康复,改善神经功能,提高日常生活能力。

Objective:To compare the clinical effect of minimally invasive soft channel drainage and small bone window craniotomy hematoma removal in the treatment of hypertensive intracerebral hemorrhage.Methods:A total of 60 patients with hypertensive intracerebral hemorrhage admitted to Zoucheng People's Hospital from January 2022 to December 2022 were selected as the study subjects.Randomized into reference group(30 cases)and analysis group(30 cases).The reference group implemented small bone window craniotomy hematoma removal and the analysis group implemented minimally invasive soft channel drainage.The surgery-related indexes,neurological function,self-care ability,and complications were compared between the two groups.Results:The operation time and the length of hospital stay in the analysis group were shorter than those in the reference group,and the intraoperative blood loss in the analysis group was less than that in the reference group(P<0.001).3 months after surgery,the neurological function scores in the two groups were lower than those before surgery,and the scores in the analysis group were lower than those in the reference group,while the self-care ability scores in the two groups were higher than those before surgery,and the scores in the analysis group were higher than those in the reference group(P<0.05).The total incidence of complications in the analysis group was lower than that in the reference group(P=0.019).Conclusion:Minimally invasive soft-channel drainage for hypertensive cerebral hemorrhage shortens operative time,reduces intraoperative bleeding,promotes patient recovery,improves neurological function,and enhances daily living ability.