神经内镜微创术结合LCFD术对高血压脑出血患者症状、预后及影响术后生活质量的Logistics分析

目的 研究神经内镜微创术结合腰大池持续引流(LCFD)术治疗高血压脑出血(HICH)的预后及其影响因素.方法 66例HICH患者随机分为观察组及对照组,每组33例.观察组患者采用神经内镜微创术结合LCFD治疗,对照组患者采用标准骨瓣开颅血肿清除术结合LCFD治疗.比较两组患者的手术相关指标,以及手术前后格拉斯哥昏迷量表...

Logistics analysis on effect of neuroendoscopic minimally invasive surgery combined with LCFD on the symptoms,prognosis and quality of life of patients with HICH

Objective To explore the effect of neuroendoscopic minimally invasive surgery combined with lumbar cerebrospinal fluid drainage(LCFD)on the symptoms,prognosis and quality of life of patients with hypertensiveintracerebralhemorrhage(HICH).Methods 66 patients with hypertensive intracerebral hemorrhage were randomly divided into observation group and control group,33 cases in each group.Patients in the observation group were treated with endoscopic minimally invasive surgery combined with LCFD,while patients in the control group were treated with standard craniotomy combined with LCFD.The perioperative indexes,GCS,GOS,ADL,ESS scores and prognosis of the two groups were compared,and the factors influencing the quality of life were analyzed.Results The operation time and intraoperative blood loss of the observation group were significantly lower than those of the control group,and the hematoma clearance rate was significantly higher than that of the control group;the Glasgow coma scale(GCS),Glasgow outcome score(GOS),activities of daily living scale(ADL),Epworth sleepiness scale(ESS)scores and SF-36 scores of the observation group were significantly higher than those of the control group(all P<0.001).Multivariate analysis showed that living with children,smoking,drinking,amount of cerebral hemorrhage,midline shift,time from cerebral hemorrhage to operation,and ventricular rupture were independent prognostic factors.Conclusion Neuroendoscopic minimally invasive surgery combined with LCFD has good curative effect and good prognosis in patients with hich.At the same time,we should timely understand and monitor whether the patients live with their children,smoking,drinking and the amount of intracerebral hemorrhage,midline shift of brain,the time from cerebral hemorrhage to operation,and break into ventricles,and carry out early rehabilitation intervention.