早期微创颅内血肿清除术治疗高血压脑出血的临床应用效果研讨

Study on the Clinical Effect of Early Minimally Invasive Removal of Intra⁃cranial Hematoma in the Treatment of Hypertensive Cerebral Hemorrhage

目的 探讨早期微创血肿清除对高血压性脑出血的治疗效果。方法 非随机选取2022年1月—2023年12月苏州市吴江区第二人民医院收治的80例高血压脑出血患者为研究对象,按治疗方式不同分为两组,每组40例。参照组行传统开颅手术治疗,研究组行早期微创颅内血肿清除术治疗,对比两组的治疗效果、手术指标、神经功能缺损评分、炎症情况、并发症发生率。结果 研究组的治疗有效率为95.00%(38/40),高于参照组的80.00%(32/40),差异有统计学意义(χ^(2)=4.114,P<0.05)。研究组手术时间、血肿吸收时间、住院时间短于参照组,差异有统计学意义(P均<0.05)。研究组血肿清除率大于参照组,术后神经功能缺损评分低于参照组,差异有统计学意义(P均<0.05)。研究组炎症指标低于参照组,差异有统计学意义(P均<0.05)。研究组发症发生率低于参照组,差异有统计学意义(P<0.05)。结论 在高血压脑出血临床治疗中,早期微创颅内血肿清除术的效果好,可以降低并发症,提高疗效,加快神经功能的恢复。

Objective To investigate the therapeutic effect of early minimally invasive hematoma removal on hyperten-sive intracerebral hemorrhage in clinical treatment.Methods A total of eighty patients with hypertensive cerebral hem-orrhage admitted to the Second People's Hospital of Wujiang District of Suzhou City from January 2022 to December 2023 were non-randomly selected as the study objects and divided into two groups according to different treatment methods,with forty cases in each group.The reference group was treated with traditional craniotomy,and the study group was treated with early minimally invasive removal of intracranial hematoma.The therapeutic effect,surgical in-dexes,neurological deficit score,inflammation and complication rate of the two groups were compared.Results The ef-fective rate of the study group was 95.00%(38/40),which was higher than 80.00%(32/40)of the reference group,the difference was statistically significant(χ^(2)=4.114,P<0.05).The operation time,hematoma absorption time and hospital stay in the study group were shorter than those in the reference group,and the differences were statistically significant(all P<0.05).The hematoma clearance rate of the study group was higher than that of the reference group,and the score of postoperative neurological impairment was lower than that of the reference group,and the differences were sta-tistically significant(both P<0.05).The inflammation index of the study group was lower than that of the reference group,and the differences were statistically significant(all P<0.05).The occurrence rate of the study group was lower than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion In the clinical treatment of hypertensive cerebral hemorrhage,early minimally invasive removal of intracranial hematoma has good ef-fect,which can reduce complications,improve curative effect and accelerate the recovery of nerve function.