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超早期小骨窗微创术治疗高血压脑出血的临床效果

Clinical Effect of Ultra-Early Small Bone Window Minimally Invasive Surgery in the Treatment of Hypertensive Cerebral Hemorrhage

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目的 探讨超早期小骨窗微创术对高血压脑出血患者神经功能及并发症的影响.方法 80 例高血压脑出血患者随机分为两组各 40 例.对照组采用常规开颅血肿清除术治疗,观察组采用超早期小骨窗微创术治疗.比较两组的血肿清除率、神经功能以及术后并发症.结果 两组的血肿清除率比较,差异无统计学意义(P>0.05).术后 1 个月,观察组的血清BDNF水平高于对照组,NPY、NSE水平均低于对照组(P<0.05).观察组的术后并发症总发生率为 7.50%,低于对照组的 27.50%(P<0.05).结论 与常规开颅血肿清除术相比,超早期小骨窗微创术可更明显地改善高血压脑出血患者的神经功能,减少并发症的发生.
Objective To explore the impact of ultra-early small bone window minimally invasive surgery on neurological function and complications of patients with hypertensive cerebral hemorrhage.Methods 80 patients with hypertensive cerebral hemorrhage were randomly divided into two groups,with 40 cases in each group.The control group was treated with routine craniotomy hematoma removal,and the observation group was treated with ultra-early small bone window minimally invasive surgery.The hematoma clearance rate,neurological function and postoperative complications were compared between the two groups.Results No significant difference was found in hematoma clearance rate between the two groups(P>0.05).One month after surgery,the serum BDNF level in the observation group was higher than that in the control group,and the NPY and NSE levels were lower than those in the control group(P<0.05).The total incidence of postoperative complications in the observation group was 7.50%,lower than 27.50%in the control group(P<0.05).Conclusions Compared with routine craniotomy hematoma removal,ultra-early small bone window minimally invasive surgery can significantly improve the neurological function of patients with hypertensive cerebral hemorrhage and reduce the occurrence of complications.

Hypertensive cerebral hemorrhageUltra-early small bone window minimally invasive surgeryNeurological function

韩文磊、高广伟

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漯河市妇幼保健院 (漯河市第三人民医院) 神经外科,河南漯河 462000

高血压脑出血 超早期小骨窗微创术 神经功能

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(2)
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