摘要
目的探讨在治疗脑出血患者时应用开颅手术与微创手术的有效性与安全性。方法研究对象为方便选取2019年1月—2020年6月来院接受手术治疗的脑出血患者90例,以治疗方案不同均分为两组,各45例。常规组予以传统开颅术,研究组予以微创手术,分析两组干预效果。结果研究组手术操作时间为(50.12±7.41)min、术中出血量为(37.81±6.32)mL、术后住院时间为(19.38±2.67)d,显著优于常规组(60.38±8.25)min、(69.52±5.34)mL、(22.94±3.13)d,差异有统计学意义(t=6.207、25.709、5.805,P<0.05);研究组治疗总有效率为91.1%,略高于常规组86.7%,但两组对比差异无统计学意义(χ^(2)=0.450,P>0.05);研究组术后并发症总发生率4.4%比常规组17.8%低,差异有统计学意义(χ^(2)=4.050,P<0.05);研究组物质生活状态、社会功能、躯体功能及心理功能评分为(80.73±4.31)分、(73.44±3.73)分、(80.41±2.92)分、(82.89±4.42)分,显著高于常规组(71.82±5.61)分、(68.42±3.63)分、(73.89±3.53)分、(75.83±4.12)分,差异有统计学意义(t=8.449、6.470、9.547、7.838,P<0.05)。结论相对于常规开颅术,以微创手术对脑出血出血患者展开治疗干预,所得疗效更佳,不仅具有术中出血量少、手术时间短、住院时间短等优势,同时并发症发生率较低,有利于患者术后恢复,值得临床深入研究与推广。
Objective To explore the effectiveness and safety of craniotomy and minimally invasive surgery in the treatment of patients with cerebral hemorrhage.Methods The study object was 90 patients with cerebral hemorrhage who came to the hospital for surgical treatment and conveniently selected from January 2019 to June 2020.They were divided into two groups according to different treatment plans,with 45 cases in each group.The conventional group received traditional craniotomy,and the study group received minimally invasive surgery.The intervention effects of the two groups were analyzed.Results The operation time of the study group was(50.12±7.41)min,the intraoperative blood loss was(37.81±6.32)mL,and the postoperative hospital stay was(19.38±2.67)days,which was significantly better than the conventional group(60.38±8.25)min,(69.52±5.34)mL,(22.94±3.13)d,the difference was statistically significant(t=6.207,25.709,5.805,P<0.05);the total effective rate of treatment in the study group was 91.1%,slightly higher than 86.7%in the conventional group,but the difference between the two groups was not statistically significant(χ^(2)=0.450,P>0.05);the total incidence of postoperative complications in the study group was 4.4%lower than that in the conventional group 17.8%,and the difference was statistically significant(χ^(2)=4.050,P<0.05);the study group's material life status,social function,physical function and mental function scores were(80.73±4.31)points,(73.44±3.73)points,(80.41±2.92)points,(82.89±4.42)points,which were significantly higher than the conventional group(71.82±5.61)points and(68.42±3.63)points,(73.89±3.53)points,(75.83±4.12)points,the difference is statistically significant(t=8.449,6.470,9.547,7.838,P<0.05).Conclusion Compared with conventional craniotomy,minimally invasive surgery is used to treat cerebral hemorrhage patients with better curative effect.It not only has the advantages of less intraoperative blood loss,shorter operation time,and shorter hospital stay,but also the incidence of complications.It is lower,which is conducive to the recovery of patients after surgery and is worthy of in-depth clinical research and promotion.
作者
王云宏
WANG Yunhong(Department of Surgery,Liaocheng Veterans Hospital,Liaocheng,Shandong Province,252000 China)
出处
《中外医疗》
2021年第19期25-28,共4页
China & Foreign Medical Treatment
关键词
微创手术
传统开颅术
疗效
脑出血
并发症
手术指标
预后
Minimally invasive surgery
Traditional craniotomy
Curative effect
Cerebral hemorrhage
Complications
Surgical indicators
Prognosis
