Analysis of Effect of Minimally Invasive Fourth-ventricle Hematoma Removal for Patients with Intraventricular Hemorrhage Casting and Influence of Feedback Early Rehabilitation on Postoperative Neurological Function.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-08-01
Shanquan Jing, Lizhuang Zhang, Lifeng Xu
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引用次数: 0

Abstract

Purpose: To investigate the therapy effect of minimally invasive fourth-ventricle hematoma removal (MIFHR) for patients with intraventricular hemorrhage (IVH) casting and the influence of feedback early rehabilitation on post-operative neurological function.

Methods: Eighty patients with IVH casting were enrolled from January 2019 to December 2020 in this retrospective study. Forty patients receiving MIFHR with feedback early rehabilitation were divided into the observational group, while the others receiving bilateral external ventricular drainage with traditional rehabilitation were divided into the control group. Glasgow Coma Scale (GCS) and neurological function before and after operation were compared between the two groups. In addition, hematoma clearance rate three days after surgery, drainage duration, hospitalization time, motor function and activity daily living (ADL) six months after surgery, and incidence of complications were also compared.

Results: No significant differences were observed in GCS score and neurological function before surgery between the two groups (both P > .05). At the same time, there were significant differences GCS score and neurological function after surgery (both P < .05). Hematoma clearance rate three days after surgery, drainage duration, hospitalization time, and incidence of complications in the observational group were lower than those in the control group (all P < .05). In contrast, motor function and ADL six months after surgery were better in the observational group (both P < .05).

Conclusion: MIFHR combined with feedback early rehabilitation is conducive to the recovery of neurological function, motor function, and ADL without increasing the incidence of complications.

微创第四脑室血肿清除术治疗脑室内出血铸造的效果及反馈早期康复对术后神经功能的影响分析。
目的:探讨微创第四脑室血肿清除术(MIFHR)治疗脑室内出血(IVH)铸造患者的疗效及早期反馈康复对术后神经功能的影响。方法:对2019年1月至2020年12月80例IVH铸造患者进行回顾性研究。40例接受MIFHR配合反馈式早期康复治疗的患者分为观察组,其余接受双侧外心室引流配合传统康复治疗的患者分为对照组。比较两组患者手术前后的格拉斯哥昏迷评分(GCS)和神经功能。并比较术后3天血肿清除率、引流时间、住院时间、术后6个月运动功能和活动日常生活(ADL)、并发症发生率。结果:两组患者术前GCS评分及神经功能比较,差异均无统计学意义(P < 0.05)。同时两组术后GCS评分及神经功能比较,差异均有统计学意义(P < 0.05)。观察组术后3 d血肿清除率、引流时间、住院时间、并发症发生率均低于对照组(均P < 0.05)。观察组术后6个月运动功能和ADL较对照组明显改善(P < 0.05)。结论:MIFHR联合反馈式早期康复有利于神经功能、运动功能和ADL的恢复,且未增加并发症的发生率。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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