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微创穿刺抽吸术与开颅手术治疗脑出血的治疗价值

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目的 探究微创穿刺抽吸术与开颅手术治疗脑出血的效果。方法 回顾性分析商丘市第一人民医院 2020 年8 月至 2022 年 12 月期间收入基底节区出血患者总计 62 例,根据患者病情实际情况和患者家属意愿分为观察组和对照组各 31 例,对照组接受开颅手术治疗,观察组接受微创穿刺抽吸术治疗,对比两组治疗疗效、术后恢复情况(手术时间、意识恢复时间、引流管拔除时间及住院时间)、日常活动能力(BI评分)及国国立卫生院卒中量表(NIHSS评分)、神经元特异性烯醇化酶(NSE)水平及并发症发生率。结果 观察组治疗有效率(96。77%)高于对照组(80。65%),差异有统计学意义(P<0。05);观察组手术时间、术后意识恢复时间、引流管拔除时间及住院时间均短于对照组,差异有统计学意义(P<0。05);治疗后,观察组BI评分高于对照组,NIHSS评分低于对照组,差异均有统计学意义(P<0。05);治疗后,观察组NSE水平低于对照组,差异有统计学意义(P<0。05);观察组并发症发生率(3。23%)低于对照组(22。58%),差异有统计学意义(P<0。05)。结论 微创穿刺抽吸术用于脑出血患者治疗中能获取满意成效,整体患者住院时间随即缩短,神经功能状况随之改变,且提高日常活动能力,术式应用中具有较高安全性,值得应用。
The Clinical Value of Minimally Invasive Puncture Aspiration and Craniotomy in the treatment of Cerebral Hemorrhage
Objective To explore the clinical value of minimally invasive puncture aspiration and craniotomy in the treatment of cerebral hemorrhage.Methods A retrospective analysis was conducted on a total of 62 patients with basal ganglia hemorrhage admitted to our hospital from August 2020 to December 2022 in Shangqiu First People's Hospital.According to the actual condition of the patients and the wishes of their families,they were divided into observation group and control group,with 31 patients in each group.The control group received craniotomy surgery,while the observation group received minimally invasive puncture aspiration therapy.Compare the therapeutic efficacy,postoperative recovery(surgery time,consciousness recovery time,drainage tube removal time,and length of stay),daily activity ability(BI score),National Institutes of Health Stroke Scale(NIHSS score),neuron-specific enolase(NSE)levels,and incidence of complications were compared between the two groups.Results The total effective rates in the observation group(96.77%)were significantly higher than in the control group(80.65%),and the difference was statistically significant(P<0.05);the operation time,consciousness recovery time,consciousness recovery time,and hospital stays drainage tube removal time,and length of stay in the observation group were significantly shorter than in the control group,with statistically significant differences(P<0.05).After treatment,BI scores in the observation group were significantly higher than in the control group;NIHSS scores in the observation group were significantly lower than in the control group,with statistically significant differences(P<0.05);NSE contents in the observation group were significantly lower than in the control group,with statistically significant differences(P<0.05);the total treatment complication rates in the observation group(3.23%)were significantly lower than in the control group(22.58%),with statistically significant differences(P<0.05).Conclusion Minimally invasive puncture aspiration is a satisfactory treatment for patients with cerebral hemorrhage,which can shorten the overall hospital stay and improve neurological function.It also enhances daily activity ability and has high safety in its application,making it worthy of use.

Minimally invasive aspirationCraniotomyCerebral hemorrhage

王璐璐、张海利、郭培培

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商丘市第一人民医院 神经外科,河南 商丘 476000

微创穿刺抽吸术 开颅手术 脑出血

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(1)
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