摘要
目的 探析在脑出血患者中采用改良微创血肿抽吸术治疗的价值。方法 选取我院在2020年6月至2021年6月收治的脑出血患者66例进行观察，根据治疗方案的不同分为2组。研究组（33例，采用改良版微创血肿抽吸术治疗），对照组（33例，采用常规微创血肿抽吸术治疗）。对比两组抽吸治疗期间的首次抽吸量和治疗后的预后情况（BI指数），观察记录并对比两组患者治疗后再次出现血脑出血现象，以及治疗后出现死亡的具体情况。结果 在治疗期间研究组的首次抽吸总量远少于对照组，且患者治疗后的BI指数高于对照组（P＜0.05）。在治疗后研究组患者再次发生脑出血现象的情况少于对照组，且患者治疗后死亡例数同样比对照组少（P＜0.05）。结论 采用改良版的微创血肿抽吸术对脑出血患者进行治疗，能够显著减少患者的再出血发生率，还能够提高患者的预后效果和生存情况，值得推广。
关键词： 脑出血；改良微创血肿抽吸术；首次抽吸量；预后效果
Abstract
Objective To explore the value of using modified minimally invasive hematoma aspiration surgery in the treatment of cerebral hemorrhage patients. Methods Sixty six patients with cerebral hemorrhage admitted to our hospital from June 2020 to June 2021 were selected for observation, and were divided into two groups according to different treatment plans. The study group (33 cases, treated with modified minimally invasive hematoma aspiration) and the control group (33 cases, treated with conventional minimally invasive hematoma aspiration). Compare the initial suction volume and post-treatment prognosis (BI index) between two groups of patients during suction therapy, observe and record the recurrence of cerebral hemorrhage after treatment, as well as the specific situation of death after treatment. Results During the treatment period, the total amount of initial aspiration in the study group was much lower than that in the control group, and the BI index of patients after treatment was higher than that in the control group (P<0.05). After treatment, the incidence of recurrent cerebral hemorrhage in the study group was lower than that in the control group, and the number of deaths in patients after treatment was also lower than that in the control group (P<0.05). Conclusion The use of an improved version of minimally invasive hematoma aspiration surgery for the treatment of patients with cerebral hemorrhage can significantly reduce the incidence of rebleeding, improve the prognosis and survival of patients, and is worthy of promotion.
Key words： Cerebral hemorrhage; Improved minimally invasive hematoma aspiration surgery; First suction volume; Prognostic effect
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