摘要
目的 分析中少量高血压脑出血患者接受微创手术治疗的效果。方法 100例中少量高血压脑出血患者,根据1∶1分为实验组、对照组,均50例。对照组接受开颅手术治疗,实验组接受微创手术治疗。对比两组治疗效果、术后脑水肿体积、术后并发症发生情况、心理状态评分。结果 实验组的治疗总有效率98.00%高于对照组的84.00%(P<0.05)。实验组患者术后第1、3、5天脑水肿体积分别为(5.45±1.21)、(8.65±1.43)、(1.89±0.43)ml,均低于对照组的(7.98±2.43)、(23.44±4.32)、(4.54±1.02)ml(P<0.05);两组患者术后第3天脑水肿体积较术后第1天逐渐增大,随后体积逐渐减低,并在术后第14天降至低于术后第1天,组内术后不同时间比较差异有统计学意义(P<0.05)。实验组术后并发症发生率4.00%显著低于对照组的18.00%(P<0.05)。治疗前,两组的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分对比无统计学意义(P>0.05);治疗后,实验组的HAMA、HAMD评分分别为(12.53±1.40)、(11.33±1.25)分,均明显低于对照组的(18.72±1.35)、(19.50±1.22)分(P<0.05)。结论 对中少量高血压脑出血患者实施微创手术治疗,可降低并发症发生率,提高疗效,改善患者的症状,缓解患者心理压力。
Objective To analyze the effect of minimally invasive surgery in the treatment of hypertensive of intracerebral hemorrhage small-to medium-volume.Methods A total of 100 patients with hypertensive of intracerebral hemorrhage of small-to medium-volume were divided into an experimental group and a control group based on a 1∶1 ratio,with 50 cases in each group.The control group received craniotomy,and the experimental group received minimally invasive treatment.The therapeutic effect,volume of postoperative brain edema,occurrence of postoperative complications,mental state score were compared between the two groups.Results The total effective rate of 98.00%in the experimental group was higher than 84.00%in the control group(P<0.05).The volume of brain edema in the experimental group were(5.45±1.21),(8.65±1.43)and(1.89±0.43)ml on day 1,3 and 5 postoperatively,which were lower than(7.98±2.43),(23.44±4.32)and(4.54±1.02)ml in the control group(P<0.05).In both groups,the volume of brain edema gradually increased on postoperative day 3 compared with postoperative day 1,and then the volume gradually decreased to lower levels on postoperative day 14 compared to postoperative day 1,the difference in intra-group comparison of volume of brain edema was statistically significant at different times postoperatively(P<0.05).The incidence of postoperative complications in the experimental group was 4.00%,which was significantly lower than 18.00%in the control group(P<0.05).Before treatment,there was no statistical significance in Hamilton Anxiety Scale(HAMA)score and Hamilton Depression Scale(HAMD)score between the two groups(P>0.05).After treatment,HAMA score and HAMD score of the experimental group were(12.53±1.40)and(11.33±1.25)points,which were significantly lower than(18.72±1.35)and(19.50±1.22)points of the control group(P<0.05).Conclusion Minimally invasive surgery for hypertensive intracerebral hemorrhage of small-to medium-volume can reduce the incidence of complications,improve the efficacy and improve the symptoms of patients,and relieve the psychological pressure of patients.
作者
张金伦
ZHANG Jin-lun(Linyi Yizhou Hospital,Linyi 276000,China)
出处
《中国实用医药》
2024年第6期38-41,共4页
China Practical Medicine
关键词
微创手术
中少量
高血压脑出血
Minimally invasive surgery
Small-to medium-volume
Hypertensive intracerebral hemorrhage
