临床医学工程2024，Vol.31Issue(2)：183-184,2.DOI:10.3969/j.issn.1674-4659.2024.02.0183
两种手术方式治疗高血压脑出血患者的临床效果及复发因素探讨
Discussion on the Clinical Effects of Two Surgical Methods in the Treatment of Patients with Hypertensive Intracerebral Hemorrhage and the Recurrence Factors
宋湖平 1钟昕2
作者信息
- 1. 厦门大学附属第一医院杏林分院神经外科,福建厦门 361022
- 2. 厦门大学附属第一医院杏林分院外科,福建厦门 361022
- 折叠
摘要
Abstract
Objective To explore the effects of minimally invasive puncture hematoma drainage(MIPHD)and craniotomy hematoma removal in the treatment of hypertensive intracerebral hemorrhage(HICH)and the risk factors of recurrence.Methods 80 HICH patients were divided into MIPHD group and craniotomy group according to different treatment regimens.The therapeutic effects and clinical factors of the two groups were compared,and the risk factors affecting the recurrence of HICH patients were analyzed.Results After treatment,the NIHSS scores of the two groups were significantly lower than those before treatment(P<0.05).Logistic regression analysis showed that the SBP at admission,bleeding volume and abnormal coagulation mechanism were risk factors affecting postoperative recurrence of HICH patients(P<0.05).Conclusions Both minimally invasive puncture hematoma drainage and craniotomy hematoma removal can improve the degree of nerve defect of HICH patients.For patients with high preoperative SBP,large bleeding volume and abnormal coagulation mechanism,the recurrence of HICH after surgery should be alerted.关键词
高血压脑出血/微创穿刺血肿引流术/开颅血肿清除术/复发/危险因素Key words
Hypertensive intracerebral hemorrhage/Minimally invasive puncture hematoma drainage/Craniotomy hematoma re-moval/Recurrence/Risk factor分类
医药卫生引用本文复制引用
宋湖平,钟昕..两种手术方式治疗高血压脑出血患者的临床效果及复发因素探讨[J].临床医学工程,2024,31(2):183-184,2.
