小骨窗手术治疗和保守治疗老年高血压脑出血的疗效对比  

Efficacy of small bone window surgery and conservative treatment on elderly patients with hypertensive cerebral hemorrhage

作　　者：张松[1] 杨丰忠 陈勇[1] 

机构地区：[1]江苏省淮安市淮阴医院神经外科,淮安223300

出　　处：《临床医学》2015年第10期33-34,共2页Clinical Medicine

摘　　要：目的对小骨窗手术治疗和保守治疗高血压脑出血的临床效果进行对比分析。方法选取94例老年高血压脑出血患者,分为小骨窗手术治疗组(研究组)和传统内科保守治疗组(对照组)各47例,对比两组患者的临床疗效、并发症及病死率。结果小骨窗手术治疗组的临床效果显著优于传统治疗组(P<0.05),并发症发生率、病死率显著低于传统治疗组(P<0.05)。结论小骨窗手术治疗老年高血压脑出血是一种简便有效的方法,能显著改善患者预后,有效降低并发症发生率及病死率。Objective To compare and analyze the clinical effect of small bone window and conservative treatment on hypertensive intracerebral hemorrhage. Methods Ninety-four elderly patients with hypertensive cerebral hemorrhage were selected,and divided into small bone window surgery group（ study group） and traditional conservative treatment group（ control group） with 47 cases in each group. The clinical efficacy,complications and mortality of the two groups were compared. Results The clinical effect of small bone window surgical treatment group was significantly better than that of conventional therapy group（ P〈0. 05）,and its incidence of complications, mortality were significantly lower than those of conventional therapy group（ P〈0. 05）.Conclusion Surgical treatment of small bone window in elderly patients with hypertensive intracerebral hemorrhage is a simple and effective method that can significantly improve the prognosis of patients and can effectively reduce complications and mortality.

关 键 词：高血压脑出血 老年人 小骨窗 保守治疗 

分 类 号：R651.1[医药卫生—外科学]