神经内镜手术联合脑血疏口服液治疗自发性脑出血的临床效果

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Abstract Objective To investigate the clinical effect of neuroendoscopic surgery combined with Naoxueshu Oral Solution in the treatment of spontaneous cerebral hemorrhage.Methods A total of 72 patients with spontaneous intracerebral hemorrhage admitted to Wuhan Asia General Hospital Affiliated to Wuhan University of Science and Technology from November 2018 to November 2020 were selected as the research subjects and divided into control group(37 cases)and experimental group(35 cases)according to coin toss method.Both groups received neuroendoscopic cerebral hematoma removal,the control group received conventional treatment after surgery,the experimental group on the basis of the control group added Naoxueshu Oral Solution.The length of stay in the two groups was compared,and the Glasgow coma score(GCS),modified Rankin score(mRS)and Barthel index score were compared one month after surgery.Results The hospitalization time of the experimental group was shorter than that of the control group,the difference was statistically significant(P<0.05).There were no statistically significant differences in GCS,mRS and Barthel index scores between the two groups before surgery(P>0.05).One month after operation,the GCS score and Barthel index score of the experimental group were higher than those of the control group,while the mRS score was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion Neuroendoscopic cerebral hematoma removal combined with Naoxueshu Oral Solution treatment of spontaneous intracerebral hemorrhage can improve the prognosis of patients and shorten the length of hospital stay.

Key words： Neuroendoscope Spontaneous cerebral hemorrhage Naoxueshu Oral Solution Clinical effect

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LIAO Jin. Clinical effect of neuroendoscopic surgery combined with Naoxueshu Oral Solution in the treatment of spontaneous cerebral hemorrhage[J]. 中国当代医药, 2021, 28(22): 110-113.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I22/110

[1]	中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组.中国脑出血诊治指南（2019）[J].中华神经科杂志，2019，52（12）：994-1005.
[2]	J.Claude Hemphill Ⅲ，Steven M.Greenberg，Craig S.Anderson，et al.自发性脑出血管理指南美国心脏协会/美国卒中协会针对医疗专业人员的指南[J].国际脑血管病杂志，2015，23（10）：721-739.
[3]	Zhou M，Wang H，Zeng X，et al.Mortality，morbidity，and risk factors in China and its provinces，1990-2017：a systematic analysis for the Global Burden of Disease Study 2017[J].Lancet，2019，394（10204）：1145-1158.
[4]	中国急诊急救神经内镜治疗高血压性脑出血协作组，中国医药教育协会神经内镜与微创医学专业委员会，中华医学会神经外科分会.2020 神经内镜下高血压性脑出血手术治疗中国专家共识[J].中华医学杂志，2020，100（33）：2579-2585.
[5]	杨磊，赵海康，张星星，等.脑血疏口服液对原发性脑出血高龄病人的疗效观察[J].中西医结合心脑血管病杂志，2017，15（15）：1944-1946.
[6]	中华医学会神经外科学分会，中国医师协会急诊医师分会，中华医学会神经病学分会脑血管病学组，等.高血压性脑出血中国多学科诊治指南[J].中华神经外科杂志，2020，36（8）：757-770.
[7]	王志伟，徐斐明，施炜城，等.脑血疏口服液联合颅内血肿微创清除术治疗高血压脑出血的临床观察[J].临床合理用药杂志，2019，12（10）：59-60.
[8]	北京市中西医结合学会神经科专业委员会.高血压性脑出血急性期中西医结合诊疗专家共识[J].中国全科医学，2016，19（30）：3641-3648.
[9]	曹勇，张谦，于洮，等.中国脑血管病临床管理指南(节选版)——脑出血临床管理[J].中国卒中杂志，2019，14（8）：809-813.
[10]	Song J，Lyu Y，Wang P，et al.Treatment of naoxueshu promotes improvement of hematoma absorption and neurological function in acute intracerebral hemorrhage patients[J].Front Physiol，2018，20，9：933.
[11]	《脑出血后脑水肿管理专家共识》专家组.脑出血后脑水肿管理专家共识[J].实用心脑肺血管病杂志，2017，25（8）：1-6.
[12]	Peters MJ."Simplicity does not precede complexity,but follows it"：evolution of the Glasgow Coma Scale[J].Pediatr Crit Care Med，2010，11（3）：423-424.
[13]	范玉华，姬晓昙，蓝琳芳.国内脑卒中临床试验疗效判断方法中改良Rankin 评分的应用现状[J].中国神经精神疾病杂志，2015，（7）：412-415.
[14]	王冠，郑姣琳.前瞻性护理干预在高血压脑出血偏瘫病人早期护理中的应用[J].护理研究，2017，31（2）：223-225.
[15]	中华医学会神经外科学分会，中国医师协会急诊医师分会，国家卫生和计划生育委员会脑卒中筛查与防治工程委员会.自发性脑出血诊断治疗中国多学科专家共识[J].中华神经外科杂志，2015，31（12）：1189-1194.
[16]	游潮.平稳降压在自发性脑出血血压管理中的重要性[J].中华神经外科杂志，2017，33（1）：4-7.
[17]	郑鹏锋，魏德.精准定位颞叶血肿后锁孔神经内镜下血肿清除的临床效果[J].中国当代医药，2020，27（28）：71-74.
[18]	中国医师协会脑胶质瘤专业委员会.中国神经外科术后加速康复外科（ERAS）专家共识[J].中华神经外科杂志，2020，36（10）：973-983.
[19]	Wu L，Li Y，Wang X，et al.A systematic review and metaanalysis on the treatment of cerebral hemorrhage with naoxueshu oral liquid[J].Biomed Res Int，2017：8 542 576.
[20]	胡勇，张亚红，刘重霄，等.脑血疏口服液对大鼠脑出血后神经功能及血肿周围半暗带细胞凋亡的影响[J].中西医结合心脑血管病杂志，2016，14（15）：1735-1737.
[21]	魏健强，马剑.脑血疏口服液对高血压脑出血后血肿周围组织灌注的影响[J].中西医结合心脑血管病杂志，2017，15（22）：2909-2912.
[22]	顼宝玉，谢道珍，孙怡.Clinical and Experimental Study on Effect of Naoxueshu （脑血疏） in Treating Vascular Dementia[C].//第二次世界中西医结合大会论文摘要集.2002.