摘要
目的:分析用神经内镜下血肿清除术治疗老年高血压脑出血的临床效果。方法:随机选取2019年3月至2020年3月武穴市中医医院接诊的90例老年高血压脑出血患者作为研究对象。将其分为对照组与试验组,每组各有患者45例。为对照组患者采用显微镜下小骨窗开颅血肿清除术进行治疗,为试验组患者采用神经内镜下血肿清除术进行治疗。然后对比两组患者的治疗效果。结果:试验组患者的血肿清除率、手术时间、手术出血量及对治疗的总满意率均优于对照组患者,差异有统计学意义(P<0.05)。治疗后,试验组患者的NDS评分、ADL评分、各项生活质量的评分均优于对照组患者,差异有统计学意义(P<0.05)。结论:用神经内镜下血肿清除术治疗高血压脑出血的效果较为理想。
Objective:To analyze the clinical effect of neuroendoscopic hematoma removal in the treatment of senile hypertensive cerebral hemorrhage.Methods:From March 2019 to March 2020,90 elderly patients with hypertensive cerebral hemorrhage treated in Wuxue Hospital of Traditional Chinese Medicine were randomly selected as the research object.They were divided into control group and experimental group,with 45 patients in each group.The control group was treated with small bone window craniotomy for hematoma removal under microscope,and the experimental group was treated with neuroendoscopy for hematoma removal.Then the treatment effect of the two groups was compared.Results:The hematoma clearance rate,operation time,surgical blood loss and total satisfaction rate of treatment in the experimental group were better than those in the control group,with statistical significance(P<0.05).After treatment,NDS score,ADL score and quality of life score of the experimental group were better than those of the control group,with s tatistical significance(P<0.05).Conclusion:Neuroendoscopic hematoma removal is an ideal treatment for hypertensive intracerebral he morrhage.
作者
潘凡
PAN Fan(Wuxue Hospital of Traditional Chinese Medicine,Wuxue 435400)
关键词
神经内镜下血肿清除术
小骨窗开颅血肿清除术
老年高血压
脑出血
hematoma removal under neuroendoscopy
Small bone window craniotomy for hematoma removal
Senile hypertension
Cerebral hemorrhage
