目的 探究神经内镜下血肿清除术在高血压脑出血治疗中的意义.方法 方便选取2020年6月—2023年10月句容市人民医院收治的78例高血压脑出血患者为研究对象,根据不同的手术方式将其分为对照组(39例)和观察组(39例).对照组给予常规开颅血肿清除术治疗,观察组给予神经内镜血肿清除术治疗.对比两组临床效果.结果 观察组围术期指标优于对照组,差异有统计学意义(P<0.05);观察组美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分低于对照组,简易精神状态检查量表(Mini-mental State Examination,MMSE)评分和Barthel指数评分高于对照组,差异有统计学意义(P均<0.05);观察组并发症发生率为2.56%,低于对照组的15.38%,差异有统计学意义(χ2=3.924,P<0.05).结论 神经内镜血肿清除术在改善高血压脑出血患者预后中有重要作用,且具有较高的安全性,能降低患者术后相关并发症的发生率.
Clinical Analysis of the Treatment of Hypertensive Intracerebral Hemor-rhage by Removal of Neuroendoscopic Hematoma
Objective To explore the clinical significance of removal of hematoma under neuroendoscope in hyperten-sive intracerebral hemorrhage.Methods A total of 78 patients with hypertensive intracerebral hemorrhage admitted to Jurong People's Hospital from June 2020 to October 2023 were conveniently selected as the study objects,and they were divided into control group(39 cases)and observation group(39 cases)according to different surgical methods.The control group was treated with conventional craniotomy hematoma,and the observation group was treated with neuroen-doscopic hematoma.The clinical effect of the two groups was compared.Results National Institute of Health Stroke Scale(NIHSS)score of the observation group was lower than that of the control group,and the Mini-mental State Exami-nation(MMSE)score and Barthel index score were higher than those of control group,and the differences were statisti-cally significant(all P<0.05).The incidence of complications in the observation group was 2.56%,which was lower than that in the control group(15.38%),and the difference was statistically significant(χ2=3.924,P<0.05).Conclusion Neu-roendoscopic hematoma removal plays an important role in improving the prognosis of hypertensive intracerebral hemor-rhage patients,and has a high safety,reducing the incidence of postoperative complications of patients.
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