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加速康复外科联合神经导航下微创穿刺引流术治疗基底节脑出血的临床效果
Clinical effect of enhanced recovery after surgery combined with minimally invasive puncture and drainage under neuro-navigation in treatment of basal ganglia cerebral hemorrhage

微创医学 20231803期 页码:325-328+343

作者机构:清华大学附属垂杨柳医院神经外科,北京市100022

基金信息:*通信作者

DOI:DOI:10.11864/j.issn.1673.2023.03.11

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目的探讨加速康复外科(ERAS)联合神经导航下微创穿刺引流术治疗基底节脑出血的临床效果。方法选择105例基底节脑出血患者为研究对象,所有患者均行神经导航下微创穿刺引流术,将患者随机分为ERAS组(54例)和对照组(51例)。比较两组患者的住院时间,术后第7天、第14天的收缩压、格拉斯哥昏迷量表(GCS)评分、美国国立卫生研究院卒中量表(NIHSS)评分以及术后14 d内的并发症情况。结果ERAS组的住院时间短于对照组,差异有统计学意义(P<0.05)。术后第7天,ERAS组的收缩压、NIHSS评分均低于对照组,GCS评分高于对照组(均P<0.05);术后第14天,ERAS组的GCS评分高于对照组(P<0.05),而两组收缩压、NIHSS评分差异无统计学意义(均P>0.05)。ERAS组术后并发症总发生率为16.67%(9/54),低于对照组的62.45%(32/51),差异有统计学意义(P<0.05)。结论将ERAS应用于基底节脑出血患者神经导航下的微创穿刺引流术围术期,可促进患者术后早期康复,加快神经功能的康复,并降低并发症发生率。
ObjectiveTo investigate the clinical effect of enhanced recovery after surgery (ERAS) combined with minimally invasive puncture and drainage under neuro-navigation in treatment of basal ganglia cerebral hemorrhage. MethodsA total of 105 patients with basal ganglia cerebral hemorrhage were selected as the research objects. All patients underwent minimally invasive puncture and drainage under neuro-navigation, and they were randomly divided into ERAS group (54 cases) and control group (51 cases). The hospitalization time; systolic blood pressure, Glasgow coma scale (GCS) score, and National Institutes of Health stroke scale (NIHSS) score on the 7th and 14th days after surgery; and complications within 14 days after surgery were compared between the two groups. ResultsThe hospitalization time of the ERAS group was shorter than that of the control group, with statistically significant difference (P<0.05). On the 7th day after surgery, the systolic blood pressure and NIHSS score of the ERAS group were lower than those of the control group, while the GCS score was higher than that of the control group (all P<0.05). On the 14th day after surgery, the GCS score of the ERAS group was higher than that of the control group (P<0.05), while there were no statistically significant differences in systolic blood pressure and NIHSS score between the two groups (all P>0.05). The total incidence of postoperative complications in the ERAS group was 16.67% (9/54), which was lower than 62.75% (32/51) in the control group, and the difference was statistically significant (P<0.05). ConclusionThe application of ERAS in the period of minimally invasive puncture and drainage surgery under neuro-navigation in patients with basal ganglia cerebral hemorrhage can promote early postoperative rehabilitation, accelerate the recovery of neurological function, and reduce the incidence of complications.

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