Effect of Neuroendoscopic Assisted Hematoma Removal Surgery in Patients with Cerebral Hemorrhage in Basal Ganglia
Objective To investigate the clinical effect of neuroendoscopic assisted of hematoma removal surgery on patient with cerebral hemorrhage in basal ganglia.Methods A total of 104 patients with cerebral hemorrhage in basal ganglia admitted to Linqing People's Hospital from January 2020 to December 2022 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 52 cases in each group.The control group underwent small bone window hematoma removal,and the observation group underwent neuroendoscopic assisted hematoma removal.The operation status,neurological function,prognosis,stress response,quality of life and complications were compared between the two groups.Results The operative time of the observation group was(125.63±11.47)min,which was shorter than(152.44±15.63)min of the control group,the intraoperative blood loss was(85.63±6.74)mL,which was less than(132.41±12.57)mL of the control group,the clearance rate of hematoma was(90.33±4.32)%,which was higher than(82.52±5.14)%of the control group,the differences between the groups were statistically significant(P＜0.05).After 3 months of surgery,the score of the National Institute of Health stroke scale in the observation group was lower than that of the control group,and the score of the Glasgow Outcome Scale was higher than that of the control group,the differences between the groups were statistically significant(P＜0.05);the levels of norepinephrine,cortisol and adrenocorticotropic hormone in the observation group were lower than those in the control group,the differences between the groups were statistically significant(P＜0.05);the scores in all fields of the World Health Organization Quality of Life-BREF scale in the observation group were higher than those in the control group,the differences between the groups were statistically significant(P＜0.05).The incidence of complications in the observation group was 3.85%,which was lower than 15.38%in the control group,the difference was statistically significant(P＜0.05).Conclusion Neuroendoscopic assisted hematoma removal surgery is more effective in the treatment of cerebral hemorrhage in basal ganglia,which can reduce surgical trauma,accelerate the removal of hematoma,improve the neurological function and prognosis of patients with fewer complications.
Cerebral hemorrhage in basal gangliaNeuroendoscopyHematoma removal surgeryComplicationsPrognosis
NETL
NSTL
万方数据
