| 谢燊柯,徐 瑾.神经导航血肿钻孔引流术治疗创伤性脑出血效果分析[J].中国烧伤创疡杂志,2025,(4):296~300. |
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| 中文关键词: 创伤性脑出血 神经导航血肿钻孔引流术 意识状态 神经功能 颅脑损伤 |
| 英文关键词:Traumatic cerebral hemorrhage Neuronavigation⁃guided hematoma drilling and drainage State of consciousness Neurological function Craniocerebral injury |
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| 中文摘要: |
| 【摘要】 目的 分析创伤性脑出血患者应用神经导航血肿钻孔引流术治疗的临床疗效。 方法 选取 2022 年 1 月至 2023 年 12 月南阳市中心医院收治的 106 例创伤性脑出血患者为研究对象, 按照随机数表法将其随机分为试验组 (53 例) 与对照组 (53 例)。 试验组患者行神经导航血肿钻孔引流术治疗, 对照组患者行常规钻孔引流术治疗, 对比两组患者治疗及恢复情况、胆红素含量、意识状态及神经功能缺损情况、死亡率。 结果 试验组患者手术时间长于对照组、术后 4 d 血肿量少于对照组、导管拔除与住院时间短于对照组 ( t = 6.222、7.768、11.463、5.333, P 均<0.001); 术后 5、10 d, 试验组患者间接胆红素、直接胆红素、总胆红素含量均低于对照组 (术后 5 d: t = 3.860、2.764、2.175, P<0.001、P = 0.007、P = 0.032; 术后 10 d: t = 4.767、7.935、3.057, P<0.001、P<0.001、P= 0.003); 术后 1、3 个月, 试验组患者意识状态评分高于对照组、神经功能缺损评分低于对照组 (术后 1 个月: t = 2.385、6.022, P= 0.019、P<0.001; 术后 3 个月: t = 4.844、11.230, P 均<0.001); 术后 1 个月内, 试验组患者死亡率与对照组无明显差异 (χ 2 = 1.603, P = 0.205)。 结论 神经导航血肿钻孔引流术治疗创伤性脑出血, 抽吸血肿效果更好, 更有利于减轻血肿分解产物的毒性作用, 促进患者康复。 |
| 英文摘要: |
| 【Abstract】 Objective To analyze the clinical efficacy of neuronavigation?guided hematoma drilling and drainage in the treatment of traumatic cerebral hemorrhage. Methods 106 patients with traumatic cerebral hemorrhage admitted to Nanyang Central Hospital from January 2022 to December 2023 were enrolled as research subjects, and divided, using the random number table, into the experimental group ( n = 53) and the control group ( n = 53). Patients in the experimental group were treated with neuronavigation?guided hematoma drilling and drainage, while patients in the control group were treated with conventional drilling and drainage. The treatment and recovery conditions, bilirubin levels, state of consciousness, neurological deficits, and mortality were compared between the two groups. Results The operation duration of patients in the experimental group was longer than the control group, the hematoma volume of patients after 4 days of surgery
was lower, and both the catheter removal time and length of stay were shorter in the experimental group (t = 6.222, 7.768, 11.463 and 5.333, all P< 0.001). Respectively at 5 and 10 days after surgery, the levels of indirect bilirubin, directbilirubin, and total bilirubin of patients in the experimental group were lower than the control group ( day 5 after surgery: t =3.860, 2.764 and 2.175, P<0.001, P = 0.007, P = 0.032; day 10 after surgery: t = 4.767, 7.935 and 3.057, P< 0.001, P<0.001, P = 0.003). Respectively at 1 month and 3 months after surgery, the consciousness state scores were higher and the neurological deficit scores were lower in the experimental group (month 1 after surgery: t = 2.385 and 6.022, P = 0.019, P<0.001; month 3 after surgery: t = 4.844 and 11.230, both P<0.001). There was no significant difference in mortality within 1 month after surgery between the two groups ( χ 2 = 1.603, P = 0.205). Conclusion Neuronavigation?guided hematoma drilling and drainage in treating traumatic cerebral hemorrhage can achieve better hematoma evacuation, reduce toxic effects of hematoma decomposition products, and promote patient recovery. |
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