中国典型病例大全

目的 观察并讨论微创钻孔引流术与开颅血肿清除术治疗高血压脑出血的效果影响。方法 选取2022年1月—2022年12月吉林市人民医院收治的74例高血压脑出血患者，根据手术方法不同分为对照组和观察组，各37例。对照组开颅血肿清除术治疗；观察组微创钻孔引流术治疗，比较2组手术效果。结果 观察组手术效果、手术指标均比对照组优（P<0.05）；观察组血肿体积比对照组小，髓鞘碱性蛋白（myelin basic protein,MBP）、S100水平比对照组低（P<0.05）；观察组神经功能缺损（National Institute of Health stroke scale,NIHSS）评分比对照组低，格拉斯哥昏迷评分（Glasgow coma scale,GCS）比对照组高（P<0.05）。观察组并发症发生率比对照组低（P<0.05）。结论高血压脑出血患者采取微创钻孔引流术治疗，能够提高手术效果，优化临床指标，清除血肿体积，同时也可以改善神经功能；另外该术式并发症少，安全性高，具有推广和应用价值。

Objective To observe and discuss the effect of minimally invasive drilling drainage and craniotomy hematoma removal in the treatment of hypertensive cerebral hemorrhage.Methods A total of 74 patients with hypertensive cerebral hemorrhage admitted to Jilin People's Hospital from January 2022 to December 2022 were selected and divided into control group and observation group according to different surgical methods, 37 cases in each group. The control group was treated with craniotomy hematoma removal; The observation group was treated with minimally invasive drilling and drainage, and the operation effect was compared between the two groups. Results The operation effect and operation indexes of the observation group were better than those of the control group(p<0.05); The hematoma volume of the observation group was smaller than that of the control group, and the levels of myelin basic protein(MBP) and S100 were lower than those of the control group(p<0.05); The National Institute of Health Stroke Scale(NIHSS) score of the observation group was lower than that of the control group, and the Glasgow Coma Scale(GCS) score of the observation group was higher than that of the control group(p<0.05). The incidence of complications in the observation group was lower than that in the control group(p<0.05).Conclusion Minimally invasive drilling and drainage in patients with hypertensive cerebral hemorrhage can improve the surgical effect, optimize clinical indicators, clear the hematoma volume, and improve neurological function; In addition, the operation has less complications and high safety, which has the value of popularization and application.