摘要
目的探究糖尿病性高血压脑出血锁孔微创手术治疗的效果观察。方法选取于2017年10月-2020年11月在该院进行“锁孔”微创手术治疗的患者66例,作为该次研究对象,随机分为对照组和试验组,各33例,对照组进行常规开颅手术治疗,试验组则给予锁孔微创手术治疗。观察经不同手术方式治疗后,对比各组患者术中出血量、输血量、术后血肿残留率、术后出血率、生活质量评分及治疗效果。结果试验组患者治疗总效率为96.97%与对照组75.76%相比较高,差异有统计学意义(χ^(2)=6.304,P<0.05);试验组患者术后血肿残留率3.03%和术后出血率3.03%与对照组24.24%、21.21%相比明显降低,差异有统计学意义(χ^(2)=6.304、5.120,P<0.05);试验组患者术中出血量(365.5±32.4)mL、输血量(80.4±15.6)mL与对照组(512.2±25.6)、(305.6±35.8)mL相比明显减少,差异有统计学意义(t=75.409、92.996,P<0.05);试验组患者心理功能评分(78.11±1.23)分、物质功能评分(75.69±2.16)分、社会功能评分(78.58±2.26)分、躯体功能评分(77.56±2.62)分高于对照组的(65.25±1.47)分、(66.85±2.56)分、(67.58±2.11)分、(68.96±3.25)分,差异有统计学意义(t=44.505、17.506、23.835、11.807,P<0.05)。结论锁孔微创手术治疗糖尿病性高血压脑出血具有良好效果,可明显清除脑部血肿,且术中不需要大量输血,安全性较高,术中出血少,对其他脑部组织损伤较少,利于患者术后转归与恢复,可改善患者日常生活质量。
Objective To explore the effect of minimally invasive surgical treatment of keyhole for diabetic hypertensive cerebral hemorrhage.Methods Sixty-six patients who underwent"keyhole"minimally invasive surgery in the hospital from October 2017 to November 2020 were selected as the object of this study.They were randomly divided into a control group and a test group,each with 33 cases,the control group of routine craniotomy was performed,and the test group was given minimally invasive keyhole surgery.To observe the treatment effect of different surgical methods,compare the blood loss,blood transfusion volume,postoperative hematoma residual rate,postoperative bleeding rate,effect evaluation standard and quality of life score of each group of patients.Results The total treatment efficiency of patients in the test group was 96.97%,compared with 75.76%in the control group,and the difference was statistically significant(χ^(2)=6.304,P<0.05);the residual rate of hematoma in the test group was 3.03%and the bleeding rate was 3.03%,compared with 24.24%and 21.21%of the control group,and the difference was statistically significant(χ^(2)=6.304,5.120,P<0.05);intraoperative blood loss(365.5±32.4)mL and blood transfusion(80.4±15.6)mL of patients in the test group was significantly reduced,compared with(512.2±25.6)mL and(305.6±35.8)mL in the control group,and the difference was statistically significant(t=75.409,92.996,P<0.05);the psychological function score(78.11±1.23)points,material function score(75.69±2.16)points,social function score(78.58±2.26)points,and physical function score(77.56±2.62)points in the test group were higher than the control group's(65.25±1.47)points,(66.85±2.56)points,(67.58±2.11)points,(68.96±3.25)points,and the difference was statistically significant(t=44.505,17.506,23.835,11.807,P<0.05).Conclusion Keyhole minimally invasive surgery has a good effect in the treatment of diabetic hypertensive cerebral hemorrhage.It can significantly clear the brain hematoma,and does not require a large amount of blood transfusion during the operation.It is safer,less bleeding during the operation,and less damage to other brain tissues,which is conducive to the outcome and recovery of patients after surgery,can improve the quality of daily life of patients,and can be promoted.
作者
刘魁力
赵文瑞
赵峥
LIU Kuili;ZHAO Wenrui;ZHAO Zheng(Department of Neurosurgery,Hongqi Hospital Affiliated to Mudanjiang Medical College,Mudanjiang,Heilongjiang Province,157000 China;Department of Critical Care Medicine,Hongqi Hospital Affiliated to Mudanjiang Medical College,Mudanjiang,Heilongjiang Province,157000 China)
出处
《糖尿病新世界》
2021年第7期36-39,共4页
Diabetes New World Magazine
关键词
糖尿病
高血压脑出血
锁孔微创手术
治疗效果
Diabetes
Hypertensive intracerebral hemorrhage
Minimally invasive keyhole surgery
Therapeutic effect
