高血压脑出血病例采用微创清除术治疗的预后探析  

Analysis of prognosis of hypertensive intracerebral hemorrhage after minimally invasive hematoma evacuation

作　　者：白文雄[1] 

机构地区：[1]云南省红河州建水县人民医院,云南红河654300

出　　处：《心血管病防治知识（学术版）》2013年第10期57-59,共3页Prevention and Treatment of Cardiovascular Disease

摘　　要：目的研究分析对脑出血患者采用微创清除术治疗的临床措施和预后效果,为其临床治疗提供理论依据。方法回顾性分析2010年3月-2013年2月期间,我院收治的180例脑出血患者的临床资料,根据患者入院治疗的先后顺序以及治疗期间采用的不同治疗措施,将180例患者分为两组,对照组患者90例,临床期间给予传统开颅手术治疗,观察组患者90例,临床期间给予微创清除术治疗,比较两组患者的临床预后效果。结果治疗后经疗效评估分析可见观察组患者的治疗总有效率优于对照组,两组治疗后比较存在明显差异,差异具有统计学意义,(P<0.05),比较两组患者的日常生活能力,观察组明显优于对照组,组间比较差异明显,具有统计学意义,(P<0.05)。结论采用微创清除术治疗脑出血具有操作简便、见效迅速、疗效明显等优势,值得临床重视和推广。Objective To study the clinical measures of minimally invasive hematoma evacuation and prognosis in patients with intracerebral hemorrhage after minimally invasive hematoma evacuation and to provide a theoretical basis for its clinical treatment. Methods A retrospective analysis was performed on the clinical data of 180 patients with intracerebral hemorrhage who were admitted to our hospital from March 2010 to February 2013. According to the order of hospitalization as well as the treatment they received, the 180 cases were divided into two groups： patients who underwent conventional craniotomy were included in the control group （n=90） and patients who had minimally invasive hematoma evacuation were included in the observation group （n=90）. Clinical outcomes were compared between the two groups. Results Evaluation on the clinical outcomes showed that the total effective rate of treatment for the observation group was significantly higher than that for the control group （P〈0.05）. Compared with the control group, the observation group was significantly more capable of activities of daily living （P〈0.05）. Conclusion Minimally invasive hematoma evacuation is easy to operate, beeomes effective quickly, and shows significant efficacy; these advantages show promise for its clinical application.

关 键 词：脑出血 微创清除术 预后效果 生存能力 内科治疗 

分 类 号：R651.1[医药卫生—外科学]