血肿微创清除术联合尿激酶治疗基底节区高血压脑出血的效果及其对神经功能的影响

Abstract
Figure/Table
References (16)
Related Citation (15)

Download: PDF (0 KB) HTML (31 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the effect of minimally invasive hematoma removal combined with Urokinase in the treatment of hypertensive intracerebral hemorrhage (HICH) in the basal nucleus area and its influence on nerve function. Methods A total of 80 patients with HICH in basal ganglia region admitted to Jieyang People′s Hospital from March 2016 to October 2020 were selected as the research subjects. They were divided into control group (40 cases)and observation group (40 cases) by random number table method. The control group was treated with routine craniotomy hematoma removal, and the observation group was treated with minimally invasive hematoma removal combined with Urokinase. Glasgow coma score (GCS), neurological function scale score (NIHSS) and postoperative complications were compared between two groups. Results The GCS score of the observation group was higher than that of the control group after 1 and 3 months of treatment, and the NIHSS score of the observation group was lower than that of the control group, the differences were statistically significant (P＜0.05). The incidence of pulmonary infection in observation group was lower than that of the control group, and the difference was statistically significant (P＜0.05). There was no significant difference in the incidence of intracranial infection between the two groups (P＞0.05). Conclusion Minimally invasive hematoma removal combined with Urokinase therapy in patients with basal ganglia HICH can improve the patient′s neurological function, reduce the incidence of coma, and have fewer postoperative complications.

Key words： Minimally invasive removal of hematoma Urokinase Hypertensive cerebral hemorrhage in the basal nucleus area Nerve function

Received: 15 March 2021

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I19/113

[1]	闫海光.神经内镜下微创术治疗高血压性脑出血患者临床疗效[J].当代医学，2021，27（7）：78-80.
[2]	辛和平.微创颅内血肿清除术对高血压性基底节区脑出血患者神经功能及并发症的影响[J].临床医学工程，2021，28（2）：191-192.
[3]	吴粤，文兵，潘志辉.颅内血肿微创清除术治疗脑出血的临床观察[J].当代医学，2021，27（5）：160-162.
[4]	高利.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.
[5]	夏越，陈兰，邹明宏.微创穿刺血肿清除术对高血压脑出血患者血清SF、NSE 及Hs-CRP 水平的影响[J].中华保健医学杂志，2020，22（6）：583-586.
[6]	陈江.微创穿刺血肿清除术治疗高血压脑出血的研究进展[J].当代临床医刊，2020，33（6）：601-602.
[7]	刘存.分析比较高血压脑出血应用小骨窗开颅手术与颅内血肿微创清除术治疗的临床效果[J].中国实用医药，2020，15（35）：61-63.
[8]	林进平，黄瑞宏，李文生.微创穿刺血肿引流术与小骨窗血肿清除术治疗高血压脑出血的疗效及术后再出血的影响因素分析[J].实用医技杂志，2020，27（12）：1616-1619.
[9]	方凯，陈文焰.显微镜下小骨窗开颅手术治疗高血压脑出血的临床分析探讨[J].中国医药科学，2020，10（7）：272-275.
[10]	蒋建英，詹春雅，杨刚.基底节区高血压脑出血小骨窗开颅血肿清除术的优势分析[J].中国现代医生，2020，58（9）：119-122.
[11]	洪金礼.微创颅内血肿清除术治疗高血压脑出血的临床观察[J].中西医结合心血管病电子杂志，2020，8（34）：75-76.
[12]	武保华，李欣.微创血肿清除术治疗高血压脑出血的效果及对神经功能的影响[J].临床医学研究与实践，2020，5（34）：106-108.
[13]	万自成，徐国平，汪跃.微创与常规手术治疗基底节区高血压脑出血患者的疗效[J].医疗装备，2020，33（22）：1-2.
[14]	李少泉，彭文龙，张维.微创颅内血肿清除术联合术后尿激酶溶解治疗基底核区高血压脑出血的效果及对神经功能、预后的影响研究[J].解放军医药杂志，2020，32（11）：89-93.
[15]	徐文华，梁锐，方富.内镜微创与开窗血肿清除术在高血压性脑出血手术中的应用[J].江西医药，2020，55（10）：1417-1419.
[16]	杨晓涛，井建东.微创血肿穿刺清除术在高血压脑出血治疗中的疗效观察及对患者生活质量的影响[J].中国药物与临床，2020，20（19）：3262-3264.