184例高血压脑出血外科治疗临床分析  

Clinical analysis of surgical treatment in 184 cases of hypertensive cerebral hemorrhage

作　　者：唐艳明[1] 

机构地区：[1]四川省眉山市洪雅县人民医院外二科,620360

出　　处：《齐齐哈尔医学院学报》2013年第3期349-350,共2页Journal of Qiqihar Medical University

摘　　要：目的研究微创抽吸术对高血压脑出血的治疗效果。方法将我院2009年5月至2011年9月收治的184例高血压脑出血患者分为两组,对照组88人采用传统开窗手术,治疗组96人采用微创抽吸术。记录比较两组患者术后病情及住院时间。结果对照组患者病死率为17.0%高于治疗组的11.5%(P<0.05);治疗组患者恢复良好率为92.7%高于对照组的84.1%(P<0.05);对照组并发症出现率为15.9%高于治疗组的6.25%(P<0.05);治疗组患者平均住院时间为(23.2±5.7)天少于对照组的(31.6±7.6)天(P<0.05)。结论采用微创抽吸术治疗高血压脑出血具有操作简单,患者损伤少,术后恢复快等优点,值得推广应用。Objective To analyze the clinical effect of minimally invasive aspiration in treating hypertensive cerebral hemorrhage. Methods Divided 184 cases with hypertensive cerebral hemorrhage from 2009 May to 2011 September in our hospital into two groups, 88 cases in control group used traditional fenestration operation, 96 cases in treatment group used minimally invasive aspiration, compared postoperative illness and hospitalization time. Results The case fatality rate in the control group was 17% ,which was higher than 11.5% in the treatment group （ P 〈 0. 05 ） ; Complication rate was 15.9% higher than 6.25% in the treatment group （P 〈0. 05） ;And recovery rate was 84.1% lower than 92.7% in the treatment group （P 〈0. 05） ;The hospitalization time was （ 31.6 ＋ 7.6 ） d more than （ 23.2 ＋ 5.7 ） d in the treatment group （ P 〈 0. 05 ）. Conclusions The use of minimally invasive aspiration in treating hypertensive cerebral hemorrhage patients has the advantages of simple operation, less trauma, quick recovery after operation and is worth clinical application.

关 键 词：高血压 脑出血 微创抽吸术 

分 类 号：R493[医药卫生—康复医学]