健康研究2024，Vol.44Issue(2)：222-226,5.DOI:10.19890/j.cnki.issn1674-6449.2024.02.022
中等量脑叶出血保守治疗与内镜手术治疗的预后比较
Comparison study of prognosis between conservative treatment and endoscopic surgery for moderate lobar cerebral hemorrhage
摘要
Abstract
Objective To observe and compare the mid-to long-term prognosis of moderate lobar cerebral hemorrhage treated with conservative treatment and endoscopic-assisted surgery,providing clinical reference.Methods A total of 205 patients with moderate lobar cerebral hemorrhage were divided into a conservative treatment group(113 cases)and an endoscopic surgery group(92 cases)according to their treatment methods.The length of hospital stay within 1 month,duration of cerebral edema,and maximum volume of cerebral edema were collected and compared between the two groups to evaluate short-term prognosis.The activity of daily living(ADL)score and mini-mental state examination(MMSE)were used to evaluate the prognosis of patients at 3 and 6 months after treatment.Results There were statistically significant differences in hospital stay,duration of brain edema,and maximum volume of brain edema between the conservative treatment group and the endoscopic surgery group(P<0.05).Within 1 month of treatment,the conservative treatment group had 29 cases of pulmonary infection,73 cases of electrolyte imbalance,25 cases of cerebral infarction,and 43 cases of lower extremity venous thrombosis,while the endoscopic surgery group had 11 cases,70 cases,10 cases,and 20 cases,respectively.There was no statistically significant difference in the occurrence of electrolyte imbalance between the two groups(χ2=3.17,P=0.075),but the occurrence of pulmonary infection,cerebral infarction,and lower extremity venous thrombosis showed statistical significance(all P<0.05).At 1,3,and 6 months after treatment,the endoscopic surgery group had higher GCS scores compared to the conservative treatment group.At 3 and 6 months after treatment,the endoscopic surgery group had higher ADL scores and MMSE scores compared to the conservative treatment group.The differences were statistically significant(P<0.05).Conclusions Endoscopic surgery for moderate lobar cerebral hemorrhage has been found to result in better long-term independent living ability and cognitive function compared to conservative treatment.关键词
脑叶出血/中等量/保守治疗/内镜手术治疗/预后Key words
lobar cerebral hemorrhage/moderate/conservative treatment/endoscopic surgical treatment/prognosis分类
医药卫生引用本文复制引用
宋昀农,王翊飞,王健超,方锦才..中等量脑叶出血保守治疗与内镜手术治疗的预后比较[J].健康研究,2024,44(2):222-226,5.基金项目
嘉兴市科技计划项目(2022AD30037) （2022AD30037）
