Evaluation of the Effectiveness and Efficiency of Minimally Invasive Craniotomy in the Treatment of Cerebral Hemorrhage

Yi Zhang
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Abstract

Objective: To investigate the clinical effect of minimally invasive craniotomy in the treatment of patients with cerebral hemorrhage. Methods: 58 samples of patients with cerebral hemorrhage admitted to the hospital were extracted, and the enrollment time was from January 2023 to December 2023. The patients were grouped into an observation group (n = 29) and a control group (n = 29) by using the random draw method of the numerical table. Patients in the control group underwent traditional craniotomy, while patients in the observation group underwent minimally invasive craniotomy, comparing the clinical effectiveness rate, operation time, hematoma clearance rate, rebleeding rate, hospital stay, and various functional scores between the two groups. Results: The clinical efficiency of the observation group was higher than that of the control group (P < 0.05); the operation time and hospital stay of the observation group were lower than that of the control group (P < 0.05); there was no significant difference in the hematoma clearance rate and rebleeding rate of the two groups (P > 0.05); the neurological impairment score of the observation group was lower than that of the control group after the operation, and the Barthel index of daily living score, cognitive functioning score (HDS), dementia scale score of the observation group were lower than that of the control group (P > 0.05). Dementia scale scores (HDS) were higher than those of the control group (P < 0.05). Conclusion: Minimally invasive craniotomy is effective in the treatment of patients with cerebral hemorrhage, which can shorten the operation time and hospital stay, improve the recovery of neurological function and daily living ability, and is suitable to be promoted and applied in medical institutions.
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评估微创开颅手术治疗脑出血的效果和效率
目的:探讨微创开颅手术治疗脑出血患者的临床效果:探讨微创开颅术在脑出血患者治疗中的临床效果。方法:抽取该院收治的 58 例脑出血患者样本,入组时间为 2023 年 1 月至 2023 年 12 月。采用数字表随机抽签法将患者分为观察组(n = 29)和对照组(n = 29)。对照组患者进行传统开颅手术,观察组患者进行微创开颅手术,比较两组患者的临床有效率、手术时间、血肿清除率、再出血率、住院时间及各项功能评分。结果观察组临床有效率高于对照组(P < 0.05);观察组手术时间、住院时间低于对照组(P < 0.05);两组血肿清除率、再出血率差异无学意义(P > 0.05);观察组术后神经功能损害评分低于对照组,观察组日常生活指数评分、认知功能评分(HDS)、痴呆量表评分均低于对照组(P > 0.05)。观察组痴呆量表评分(HDS)高于对照组(P<0.05)。结论微创开颅术治疗脑出血患者效果显著,可缩短手术时间和住院时间,提高神经功能和日常生活能力的恢复,适合在医疗机构推广应用。
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