American journal of translational research · 2021
Effect of minimally invasive surgery combined with intracranial pressure monitoring on neurological function recovery and quality of life in patients with hypertensive cerebral hemorrhage.
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Wang Guohua, Liu Wei, Li Chuanfeng, Wang Hong
Аннотация
OBJECTIVE: To explore the influence of minimally invasive surgery (MIS) combined with postoperative intracranial pressure (ICP) monitoring on Glasgow Outcome Scale (GOS) score and postoperative complications of hypertensive intracerebral hemorrhage (HICH).
METHODS: From January 2018 to January 2020, 106 patients with HICH admitted to Qingdao Municipal Hospital were divided into two groups according to different treatment methods. Among them, 56 cases in the research group received neuroendoscopy minimally invasive surgery (MIS) combined with ICP monitoring, while 50 cases in the control group received only neuroendoscopy MIS. Perioperative indexes, complication rate within 6 months after operation, GOS scores, and GOS grades 6 months after operation, Activities of Daily Living (ADL) scores before and 6 months after operation, and National Institute of Health stroke scale (NIHSS) scores before and 14 days after operation were compared between the two groups, and the quality of life of patients was evaluated in the two groups 6 months after operation.
RESULTS: Compared with the control group, the patients in the research group had notably better indexes of operation time, length of hospital stay, hematoma absorption time, intra-operative blood loss, and hematoma clearance rate, and notably lower incidence of postoperative complications. Moreover, the patients in the research group had markedly higher GOS and ADL scores at 6 months after operation, as well as markedly higher NIHSS score at 14 days after operation.
CONCLUSION: MIS combined with postoperative ICP monitoring can improve the prognosis of patients with HICH, reduce postoperative complications, and improve postoperative activities and quality of life.
METHODS: From January 2018 to January 2020, 106 patients with HICH admitted to Qingdao Municipal Hospital were divided into two groups according to different treatment methods. Among them, 56 cases in the research group received neuroendoscopy minimally invasive surgery (MIS) combined with ICP monitoring, while 50 cases in the control group received only neuroendoscopy MIS. Perioperative indexes, complication rate within 6 months after operation, GOS scores, and GOS grades 6 months after operation, Activities of Daily Living (ADL) scores before and 6 months after operation, and National Institute of Health stroke scale (NIHSS) scores before and 14 days after operation were compared between the two groups, and the quality of life of patients was evaluated in the two groups 6 months after operation.
RESULTS: Compared with the control group, the patients in the research group had notably better indexes of operation time, length of hospital stay, hematoma absorption time, intra-operative blood loss, and hematoma clearance rate, and notably lower incidence of postoperative complications. Moreover, the patients in the research group had markedly higher GOS and ADL scores at 6 months after operation, as well as markedly higher NIHSS score at 14 days after operation.
CONCLUSION: MIS combined with postoperative ICP monitoring can improve the prognosis of patients with HICH, reduce postoperative complications, and improve postoperative activities and quality of life.