Observation on therapeutic effect of super early small bone window minimally invasive intracerebral hemorrhage clearance in the treatment of hypertensive intracerebral hemorrhage
超早期小骨窗微创脑出血清除术应用于高血压脑出血治疗中的疗效观察

摘要

目的 分析高血压脑出血治疗中超早期小骨窗微创脑出血清除术的干预效果。方法 选择近3年（2019年1月-2022年2月）本院收治的高血压脑出血患者90例，回顾临床资料，将采用早期小骨窗微创脑出血清除术治疗（发病6-12h）的45例作为对照组，采用超早期小骨窗微创脑出血清除术治疗的45例患者作为观察组，对比两组临床疗效。结果 观察组手术时间、住院时间均更短，手术并发症率更低，血肿清除率更高，与对照组相比差异有统计学意义（P<0.05）；随访6个月，观察组患者神经功能缺损（NIHSS）评分改善情况更佳，与对照组相比差异有统计学意义（P<0.05）。结论 超早期小骨窗微创脑出血清除术治疗可取得非常满意的效果，且不良反应少，安全性高，对于高血压脑出血治疗有较高的应用价值。

Abstract

Objective To analyze the intervention effect of minimally invasive small bone window intracerebral hemorrhage clearance at super early stage in the treatment of hypertensive intracerebral hemorrhage.
Methods: 90 patients with hypertensive intracerebral hemorrhage admitted to our hospital in recent 3 years (January 2019 February 2022) were selected. The clinical data were reviewed. 45 patients who were treated with early small bone window minimally invasive intracerebral hemorrhage clearance (6-12h after onset) were taken as the control group, and 45 patients who were treated with super early small bone window minimally invasive intracerebral hemorrhage clearance were taken as the observation group. The clinical effects of the two groups were compared.
Results: The operation time and hospitalization time of the observation group were shorter, the rate of operation complications was lower, and the hematoma clearance rate was higher, which was statistically significant compared with the control group (P<0.05); Follow up for 6 months showed that the improvement of NIHSS score in the observation group was better than that in the control group (P<0.05).
Conclusion  : The super early small bone window minimally invasive intracerebral hemorrhage removal can achieve very satisfactory results, with less adverse reactions and high safety. It has high application value for the treatment of hypertensive intracerebral hemorrhage.