超早期小骨窗血肿清除术与延期开颅血肿清除术治疗重症高血压脑出血疗效对比  

Comparison of super early small bone window and delayed open bone window hematoma evacuation in the treatment of severe hypertensive intracerebral hemorrhage

作　　者：余妍 杜杰 

机构地区：[1]湖北咸宁市中心医院神经内科,咸宁437100

出　　处：《中国实用神经疾病杂志》2014年第3期27-29,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析超早期小骨窗血肿清除术与延期开颅血肿清除术治疗重症高血压患者脑出血的疗效。方法选择在本院接受治疗的高血压脑出血患者作为研究对象,分别给予超早期小骨窗血肿清除术及延期开颅血肿清除术进行治疗,比较2组患者的治疗效果、神经功能缺损、术后再出血及病死率、日常生活能力评分等情况。结果观察组有效率(96.88%)、日常生活能力评分(72.32±11.94)明显高于对照组(P<0.05),治疗后1周、2周、4周神经功能缺损评分(29.21±5.57、20.23±4.14、11.65±4.15)、再出血(10.94%)、死亡(6.25%)均明显低于对照组(P<0.05)。结论超早期小骨窗血肿清除术可有效提高高血压脑出血患者的治疗效果,减轻其神经功能缺损,降低术后再出血及病死率,提高术后日常活动能力。Objective To study curative effect of super early small bone window and delayed open bone window hematoma evacuation in the treatment of severe hypertensive intracerebral hemorrhage. Methods Totally 128 patients with severe hypertensive intracerebral hemorrhage were divided into observation group and the control group, observation group were given early super small bone window hematoma evacuation, control group were given deferred open bone window hematoma evacuation, treatment effect, nerve function postoperative bleeding again, mortality, daily life ability between two groups were compared. Results The efficiency （96.88%）, daily life ability score （72.32±11.94） in the observation group were significantly higher than that in the control group （P〈0.05）; after treatment 1 week, 2 weeks, 4 weeks, neural function defect score （29.21±5. 57, 20.23±4. 14, 11.65±4. 15）, bleeding （10.94%）, death （5.25%） were significantly lower than control group （P〈 0.05）. Conclusion Super early small bone window hematoma evacuation can effectively improve the treatment effect, reduce nerve function defect, and improve daily activity ability.

关 键 词：高血压脑出血 血肿清除术 超早期 延期 神经功能 

分 类 号：R743.34[医药卫生—神经病学与精神病学]