直视下小骨窗开颅与锥孔引流治疗高血压脑出血疗效比较分析  

The comparative analysis of therapeutic effect of treatment hypertension cerebral hemorrhage by craniotomy with small bone window in under direct vision and taper hole drainage

作　　者：沈伟锋[1] 杨南渝 王雪新[1] 叶松标 

机构地区：[1]广东省惠州市惠阳区人民医院,广东惠州516211

出　　处：《中外医疗》2012年第27期14-15,共2页China & Foreign Medical Treatment

摘　　要：目的探讨直视下小骨窗开颅与锥孔引流治疗高血压脑出血疗效情况。方法分析该院收治高血压脑出血患者70例临床资料,依据治疗方式不同分为治疗Ⅰ组(直视下小骨窗开颅治疗组)30例和治疗Ⅱ组(锥孔引流治疗组)40例。结果治疗Ⅱ组高血压脑出血患者血肿清除率、并发症发生率、肢体功能、日常生活能力评分及临床治疗总有效率均明显优于治疗Ⅰ组,差异有统计学意义(P<0.05)。结论锥孔引流治疗高血压脑出血患者效果明显,预后良好,值得临床推广应用。Objective To approach effect of treatment hypertension cerebral hemorrhage by craniotomy with small bone window in under direct vision and taper hole drainage.Methods To analyze 70 cases clinical data of hypertension cerebral hemorrhage patients in our hospital,which were divided into treatment Ⅰ group（craniotomy with small bone window in under direct vision group）30 cases and treatment Ⅱ group（taper hole drainage group）40 cases.Results The hematoma clearance rate、complication rate、limb function、evaluation of adls;evaluation of activities of daily living and clinical treatment of total efficiency of treatment Ⅱ group were better than treatment Ⅰ group,P0.05,the difference statistical significance.Conclusion The hypertension cerebral hemorrhage result was obviously and prognosis was good by taper hole drainage,which was to be used.

关 键 词：小骨窗开颅 锥孔引流 高血压脑出血 

分 类 号：R651.1[医药卫生—外科学]