神经内镜辅助对高血压脑出血中患者神经缺损及安全性的影响(1)
摘要：目的 探討神经内镜辅助在高血压脑出血患者中的临床效果及对神经缺损、安全性的影响。方法 选择2016年5月～2018年3月在我院治疗的高血压脑出血患者72例作为对象，采用随机数字表分为对照组和观察组，每组36例。对照组给予小骨窗开颅手术治疗，观察组在对照组基础上采用神经内镜辅助治疗，两组术后3 d对手术效果进行评估，比较两组神经缺损及安全性。结果 观察组手术时间(143.59±14.69)min长于对照组(117.95±10.58)(P<0.05);观察组术中出血量(92.18±5.77)ml、住院时间(15.72±3.09)d、术后NIHSS评分(9.18±1.23)分，均少于对照组，差异有统计学意义(P<0.05);观察组与对照组治疗后尿路感染(2.78% vs 0)、消化道出血(0 vs 2.78%)、肺部感染(2.78% vs 5.56%)及下肢深静脉血栓(2.78% vs 0)发生率比较，差异均无统计学意义(P>0.05)。结论 将神经内镜辅助用于高血压脑出血患者中能减轻神经缺损，手术创伤较小，术后并发症发生率较低。
, 百拇医药
关键词：神经内镜辅助;高血压脑出血;神经缺损;手术创伤;术后并发症
中图分类号：R651.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.08.041
文章编号：1006-1959(2019)08-0139-02
Abstract：Objective To investigate the clinical effects of neuroendoscopy in patients with hypertensive brain hemorrhage and its effects on neurological deficits and safety. Methods A total of 72 patients with hypertensive brain hemorrhage treated in our hospital from May 2016 to March 2018 were enrolled. The random number table was used to divide into control group and observation group， 36 cases in each group. The control group was treated with small bone window craniotomy. The observation group was treated with neuroendoscopy on the basis of the control group. The operation of the two groups was evaluated 3 d after surgery， and the neurological deficits and safety of the two groups were compared. Results The operation time of the observation group (143.59±14.69) min was longer than that of the control group (117.95±10.58) (P<0.05). The intraoperative blood loss (92.18±5.77) ml， hospitalization time (15.72±3.09) d， postoperative NIHSS in the observation group. The scores (9.18±1.23) were lower than the control group，the difference was statistically significant (P<0.05).Urinary tract infection (2.78% vs 0)， gastrointestinal bleeding (0 vs 2.78%)， pulmonary infection (2.78% vs 5.56%) and lower extremity deep venous thrombosis (2.78% vs 0) in the observation group and the control group，there was no significant difference in the incidence rate (P>0.05).Conclusion Neuroendoscopy is helpful in the treatment of hypertensive brain hemorrhage in patients with hypertensive cerebral hemorrhage. The surgical trauma is small and the incidence of postoperative complications is low., 百拇医药(王春城)
, 百拇医药
关键词：神经内镜辅助;高血压脑出血;神经缺损;手术创伤;术后并发症
中图分类号：R651.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.08.041
文章编号：1006-1959(2019)08-0139-02
Abstract：Objective To investigate the clinical effects of neuroendoscopy in patients with hypertensive brain hemorrhage and its effects on neurological deficits and safety. Methods A total of 72 patients with hypertensive brain hemorrhage treated in our hospital from May 2016 to March 2018 were enrolled. The random number table was used to divide into control group and observation group， 36 cases in each group. The control group was treated with small bone window craniotomy. The observation group was treated with neuroendoscopy on the basis of the control group. The operation of the two groups was evaluated 3 d after surgery， and the neurological deficits and safety of the two groups were compared. Results The operation time of the observation group (143.59±14.69) min was longer than that of the control group (117.95±10.58) (P<0.05). The intraoperative blood loss (92.18±5.77) ml， hospitalization time (15.72±3.09) d， postoperative NIHSS in the observation group. The scores (9.18±1.23) were lower than the control group，the difference was statistically significant (P<0.05).Urinary tract infection (2.78% vs 0)， gastrointestinal bleeding (0 vs 2.78%)， pulmonary infection (2.78% vs 5.56%) and lower extremity deep venous thrombosis (2.78% vs 0) in the observation group and the control group，there was no significant difference in the incidence rate (P>0.05).Conclusion Neuroendoscopy is helpful in the treatment of hypertensive brain hemorrhage in patients with hypertensive cerebral hemorrhage. The surgical trauma is small and the incidence of postoperative complications is low., 百拇医药(王春城)