Analysis of the efficacy of neuroendoscopy and microsurgery in the treatment of hypertensive cerebral hemorrhage
神经内镜与显微手术治疗高血压脑出血的疗效分析

摘要

目的 评析高血压脑出血给予神经内镜与显微手术治疗的效果。方法 选择我院与2023年4月至2024年4月期间接诊的90例高血压脑出血患者，基于双盲法分为两组，各45例，参比组运用显微手术治疗，探究组接受神经内镜微创术治疗，检查两组临床相关指标、NIHSS评分、GOS评分、并发症发生率。结果 探究组术中失血量、手术时间、住院费用、住院时间和术后1周颅内压均小于参比组，（P＜0.05）。探究组术后NIHSS评分低于参比组，GOS评分高于术前，（P＜0.05）。探究组并发症发生率低于参比组，（P＜0.05）。结论 高血压脑出血运用神经内镜微创术治疗的效果好，值得借鉴。

Abstract

Objective To evaluate the effect of neuroendoscopy and microsurgery in the treatment of hypertensive cerebral hemorrhage.
Methods A total of 90 patients with hypertensive cerebral hemorrhage admitted to our hospital from April 2023 to April 2024 were selected and divided into two groups based on the double-blind method, with 45 cases in each group. The reference group was treated with microsurgery, and the exploration group received neuroendoscopic minimally invasive surgery. The clinical-related indicators, NIHSS scores, GOS scores, and complication rates of the two groups were examined.
Results The intraoperative blood loss, operation time, hospitalization cost, hospitalization time, and intracranial pressure one week after surgery in the exploration group were all lower than those in the reference group (P < 0.05). The NIHSS score in the exploration group after surgery was lower than that in the reference group, and the GOS score was higher than that before surgery (P < 0.05). The incidence of complications in the exploration group was lower than that in the reference group (P < 0.05).
Conclusion   The minimally invasive neuroendoscopic surgery is effective in treating hypertensive cerebral hemorrhage and is worth learning from.