摘要
目的:比较硬通道与软通道微创术治疗高血压脑出血(HICH)的临床指标。方法:回顾性分析2020年1月至2022年1月三门峡市中心医院收治的96例HICH患者资料,根据治疗方式选取48例采用软通道微创术治疗的患者纳入软通道组,另选取48例采用硬通道微创术治疗的患者纳入硬通道组,比较两组患者术前、术后情况。结果:术后7 d,两组患者血清应激反应指标均较术前下降,且软通道组患者血清应激反应指标水平均低于硬通道组,差异具有统计学意义(P<0.05);术后14 d,两组患者各项临床指标均优于术前,软通道组患者血肿量、血肿周围水肿量、美国国立卫生研究院脑卒中量表(NIHSS)评分均低于硬通道组,日常生活活动能力(ADL)评分高于硬通道组,差异具有统计学意义(P<0.05);软通道组术后并发症发生率低于硬通道组,差异具有统计学意义(P<0.05);术后3个月,软通道组格拉斯哥预后量表(GOS)分级整体水平优于硬通道组,差异具有统计学意义(Z=-2.863,P<0.05)。结论:软通道微创术治疗HICH能够减轻术后应激反应,降低术后并发症发生率,提高预后质量。
Objective To compare the clinical indicators of hard channel and soft channel minimally invasive surgery in the treatment of hypertensive intracerebral hemorrhage(HICH).Methods A total of 96 patients with HICH admitted to Sanmenxia Central Hospital from January 2020 to January 2022 were retrospective analysed their information.According to the treatment of 48 cases of patients treated with soft channel minimally invasive into soft channel group,the other from 48 cases of patients treated with hard channel minimally invasive into hard channel group,the preoperative and postoperative were compared between the two groups of patients.Results On the 7th day after operation,the serum stress response indexes of the two groups were lower than those before operation,and the serum stress response indexes of the soft channel group were lower than those of the hard channel group,and the differences were statistically significant(P<0.05).14 days after operation,the clinical indexes of the two groups were better than those before operation,the hematoma volume,perihematoma edema volume,and National Institutes of Health stroke scale(NIHSS)score in the soft channel group were lower than those in the hard channel group,and the activities of daily living(ADL)score was higher than that in the hard channel group(P<0.05);The incidence of postoperative complications in the soft channel group was lower than that in the hard channel group,and the difference was statistically significant(P<0.05).At 3 months after operation,the Glasgow outcome scale(GOS)grade of the soft channel group was better than that of the hard channel group,and the difference was statistically significant(Z=-2.863,P<0.05).Conclusion Soft channel minimally invasive surgery in the treatment of HICH can reduce the postoperative stress response,reduce the incidence of postoperative complications,and improve the quality of prognosis.
作者
吕倩倩
宋江峰
LYU Qian-qian;SONG Jiang-feng(Sanmenxia Central Hospital,Henan Sanmenxia 472000)
出处
《深圳中西医结合杂志》
2022年第19期67-70,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
高血压
脑出血
微创手术
软通道
硬通道
Hypertension
Cerebral hemorrhage
Minimally invasive surgery
Soft channel
Hardware channel
作者简介
吕倩倩,女,主治医生,主要研究方向是神经重症。
