摘要
目的探讨颅内血肿微创清除术在治疗重症高血压脑出血患者中的应用及对患者NIHSS评分的影响。方法方便收集2016年9月-2018年9月收治的82例重症高血压脑出血患者的临床资料,按照手术方式的不同分为对照组和研究组,对照组患者给予大骨瓣开颅血肿清除术,研究组患者给予颅内血肿微创清除术。比较两组患者治疗后的临床疗效、术中情况和住院时间,分析其治疗前后的NIHSS评分。结果研究组患者的手术时间和住院时间明显短于对照组,术中出血量明显低于对照组,比较差异有统计学意义(P<0.05)。研究组和对照组的临床治疗总有效率分别为92.68%和65.85%,比较差异有统计学意义(χ~2=8.979,P<0.05)。研究组患者治疗前和治疗1 d后的NIHSS评分比较差异无统计学意义(P>0.05)。而治疗3、7、14 d后的NIHSS评分明显低于对照组,比较差异有统计学意义(P<0.05)。结论应用颅内血肿微创清除术治疗重症高血压脑出血患者疗效显著,明显缩短手术时间和住院时间,明显减少术中出血量和NIHSS评分,值得在临床上大力推广。
Objective To explore the application of minimally invasive removal of intracranial hematoma in the treatment of severe hypertensive intracerebral hemorrhage and its effect on NIHSS score. Methods The clinical data of 82 patients with severe hypertensive intracerebral hemorrhage admitted from September 2016 to September 2018 were convenient collected and divided into control group and research group according to different surgical methods, The patients in the control group were treated with craniotomy and the patients in the study group were treated with minimally invasive removal of intracranial hematoma. The clinical efficacy, intraoperative condition, hospitalization time after treatment were compared between the two groups, and the NIHSS scores before and after treatment were analyzed. Results The operation time and hospitalization time of the study group were significantly shorter than those of the control group, and the amount of bleeding during the operation was significantly lower than that of the control group(P<0.05). The total effective rates of the study group and the control group were 92.68% and 65.85% respectively, with statistically significant difference(χ~2=8.979, P<0.05). There was no statistically significant difference in NIHSS score between the study group before treatment and 1 day after treatment(P>0.05). The NIHSS score after 3, 7 and 14 days of treatment was significantly lower than that of the control group(P<0.05).Conclusion The application of minimally invasive removal of intracranial hematoma in the treatment of severe hypertensive intracerebral hemorrhage has remarkable curative effect, significantly shortening the operation time and hospitalization time,significantly reducing intraoperative bleeding volume and NIHSS score, which is worthy of vigorous promotion in clinical practice.
作者
庄顺福
严宁
林智勇
周昌富
林瑞生
ZHUANG Shun-fu;YAN Ning;LIN Zhi-yong;ZHOU Chang-fu;LIN Rui-sheng(Department of Neurosurgery,Zhangzhou Hospital Affiliated to Fujian Medical University,Zhangzhou,Fujian Province,363000 China)
出处
《中外医疗》
2020年第3期1-3,共3页
China & Foreign Medical Treatment
关键词
颅内血肿微创清除术
重症高血压脑出血
NIHSS评分
Minimally invasive removal of intracranial hematoma
Severe hypertensive intracerebral hemorrhage
NIHSS score
