Efficacy of Neuroendoscopic Minimally Invasive Surgery Combined with Intensified Antihypertensive Therapy in the Treatment of Patients with Hypertensive Cerebral Hemorrhage
LI Shijie
Abstract：Objective:To analyze the effect of neuroendoscopic minimally invasive surgery combined with intensified antihypertensive therapy in the treatment of patients with hypertensive cerebral hemorrhage.Method:A total of 86 patients with hypertensive cerebral hemorrhage admitted to the nzeurosurgery Department of Liupanshui Municipal People's Hospital from March 2023 to June 2024 were included,they were treated with neuroendoscopic minimally invasive surgery.They were divided into control group and observation group according to the way of lowering blood pressure.The control group(n=43)received the standard antihypertensive regimen,and the observation group(n=43)received the intensive antihypertensive regimen.The volume of edema and the National Institute of Health stroke scale(NIHSS),middle cerebral arterial hemodynamics,state of consciousness,self-care ability and quality of life before and after treatment were compared between the two groups.Result:At 24 h after treatment,cerebral edema volume,NIHSS score and resistance index decreased in the two groups,and the observation group was lower,the arteriae cerebri media mean blood flow velocity,mean blood flow,Glasgow coma scale(GCS)and Glasgow outcome scale(GOS)at 1 month after treatment and the quality of life score at 3 months after treatment increased,and the observation group was higher,the differences were statistically significant(P<0.05).Conclusion:Neuroendoscopic minimally invasive surgery combined with intensified antihypertensive therapy treatment of hypertensive cerebral hemorrhage can reduce the volume of cerebral edema,improve cerebral hemodynamics and neurological function,and improve the quality of life of patients.
Keywords：Neuroendoscopic minimally invasive surgeryIntensive antihypertensive regimenCerebral edema volumeNerve functionQuality of life
Publication Date：2025-06-05
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 28-32 )