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经外侧裂入路手术治疗高血压基底节区脑出血疗效及患者心理状态研究

  • 连泽豪

* 通信作者: 连泽豪, 单位:河南省平顶山市第一人民医院神经外二科

摘要

【摘要】
目的:分析经外侧裂入路手术治疗HBGH(高血压基底节区脑出血)疗效及对患者心理状态的影响。

方法:选定本院2019年1月至2021年1月住院治疗的92例HBGH患者,根据“治疗

方法的不同”分组,参照组46例患者采纳经颞叶皮层入路术治疗,实验组46例患者采纳经外侧裂入路术治疗,比较两组GOS优良率、血清S100β、NSE、并发症发生率、HAMA评分、HAMD评分。

结果:实验组GOS优良率(73.91%)高于参照组(46.48%),实验组术后5d血清S100β、NSE、HAMA评分、HAMD评分均低于参照组,实验组并发症发生率(2.17%)低于参照组(17.39%),差异均具有统计学意义(P<0.05)。

结论:经外侧裂入路术可有效改善HBGH患者病情,抑制S100β、NSE释放,减少并发症,减轻焦虑、抑郁等不良情绪。

关键词:【关键词】经外侧裂入路手术;高血压基底节区脑出血;临床疗效;心理状态

ABSTRACT

[Abstract]
Objective: To analyze the effect of the operation of lateral fissure approach on hbgh (hypertensive basal ganglia hemorrhage) and the influence on the psychological state of the patients.

Methods: 92 hbgh patients in our hospital from January 2019 to January 2021 were selected. According to the different treatment methods, 46 patients in the reference group were treated by temporal cortex approach, 46 patients in the experimental group were treated by lateral split approach, and the GOS excellent rate and serum S100 were compared between the two groups β、 NSE, complication rate, HAMA score and HAMD score.

Results: the excellent rate of GOS in the experimental group (73.91%) was higher than that of the control group (46.48%), and the serum S100 in the experimental group was 5 days after operation β、 NSE, HAMA and HAMD were lower than that of the control group, and the complication rate of experimental group (2.17%) was lower than that of the control group (17.39%), and the difference was statistically significant (P < 0.05).

Conclusion  : the lateral approach can effectively improve the patients' condition of hbgh and inhibit S100 β、 NSE release, reduce complications, reduce anxiety, depression and other adverse emotions.

Key words: [Key words] operation through lateral fissure approach; The cerebral hemorrhage in basal ganglia of hypertension; Clinical effect; mentality

引用本文 / How to Cite This Article

连泽豪.经外侧裂入路手术治疗高血压基底节区脑出血疗效及患者心理状态研究[J]. 国际精神病学杂志, , (): -

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