实用医学杂志2016，Vol.32Issue(18)：3007-3010,4.DOI:10.3969/j.issn.1006-5725.2016.18.018
神经内镜和显微手术治疗脑出血的疗效及卫生经济学比较
Comparison of efficacy and economic efficiency of neuroendoscope versus microscope for intracerebral hemorrhage
摘要
Abstract
Objective To investigate the differences of efficacy and economic efficiency between neuroendoscope and microscope for intracerebral hematomas cleaning operation. Methods From August 2014 to August 2015, clinical data of 68 cases with intracerebral hemorrhage were analyzed retrospectively. Hematoma evacuation was carried out by microscope in 37 cases (microscope group) received and 31 cases (endoscope group) underwent neuroendoscope. Following parameters were compared: the operation related index (hematoma clearance rate , intraoperative blood loss , the operation time , skin incision , bone window size ) , Glasgow Outcome Scale at 6 months after the operation, complications (intracranial infection, lung infections, gastrointestinal bleeding), medical economic parameters (the postoperative hospital stay, drug cost, cost other than drug, and total hospital cost). Results The hematoma clearance rate, Glasgow Outcome Scale at 6 months after the operation in the endoscope group were significantly better than those in the microscope group (P <0.05). The intraoperative blood loss, the operation time, skin incision, bone window size the postoperative hospital stay , drug costs , no drug costs , and total hospital cost in the neuroendoscope group were significantly lower than those in the microscope group (P < 0.01). The intracranial infection, lung infections in the neuroendoscope group were lower those in the microscope group (P < 0.05). There was no statistical difference in the incidence of gastrointestinal bleeding between the two groups (P > 0.05). The postoperative hospital stay, drug costs , no drug costs , and total hospital cost were significantly less in neuroendoscope group than that in microscope group (P< 0.01). Conclusion Neuroendoscopy has less trauma,there are some advantages of neuroendoscopy for intracerebral hematomas cleaning operation , such as minimal trauma , prominent effect , good prognosis and low cost. It should be widely applied in clinical practice.关键词
神经内镜/脑出血/疗效/卫生经济学Key words
Neuroendoscope/Intracerebral hemorrhage/Curative effect/Health economics引用本文复制引用
范学政,黄进能,朱寿鸿,胡栓贵,王伯强..神经内镜和显微手术治疗脑出血的疗效及卫生经济学比较[J].实用医学杂志,2016,32(18):3007-3010,4.基金项目
国家“十二五”科技支撑计划课题（编号2011BAI08B05）；广西壮族自治区中医药科技专项基金项目 （）
