超早期手术治疗高血压脑出血患者的临床疗效研究  

Research of clinical effect by ultra-early operation in the treatment of hypertensive cerebral hemorrhage patients

作　　者：焦松[1] 姚声涛[1] 李刚[1] 韩冲[1] 夏湘平[1] 曾尤超[1] 肖华[1] 唐钧[1] 刘锐[1] 

机构地区：[1]遵义医学院附属医院脑血管科,563003

出　　处：《中国实用医药》2016年第12期14-16,共3页China Practical Medicine

摘　　要：目的探讨超早期手术治疗高血压脑出血的临床效果。方法 61例高血压脑出血患者,根据手术时间不同分为实验组（31例,发病6 h内进行手术）和对照组（30例,发病后7-72 h进行手术）,两组均给予小骨窗手术治疗。比较两组近期疗效及日常生活能力改善情况。结果手术治疗后1个月,实验组格拉斯哥昏迷评分（GCS）及优良率显著高于对照组（P〈0.05）;手术治疗后6个月,实验组日常生活能力量表（ADL）分级Ⅰ-Ⅱ级比例显著高于对照组（P〈0.05）;实验组并发症发生率显著低于对照组（P〈0.05）。结论术前准确评估患者病情后行超早期手术治疗高血压脑出血疗效显著优于早期手术,术后并发症发生率低,患者恢复良好,值得临床推广应用。Objective To investigate clinical effect by ultra-early operation in the treatment of hypertensive cerebral hemorrhage. Methods A total of 61 patients with hypertensive cerebral hemorrhage were divided by different operation time into experimental group（31 cases, receiving operation within 6 h after disease attack） and control group（30 cases, receiving operation in 7-72 h after disease attack）. Both groups received small bone window operation. Short-term curative effect and improvement of activities of daily living were compared. Results After 1 month of operation, the experimental group had obviously higher Glasgow coma scale（GCS） and good rate than the control group（P〈0.05）. After 6 months of operation, the experimental group had much higher proportion of grade Ⅰ-Ⅱ in activities of daily living scale（ADL） than the control group（P〈0.05）. The experimentl group also had obviously lower incidence of complications than the control group（P〈0.05）. Conclusion Implement of ultra-early operation in the treatment of hypertensive cerebral hemorrhage after accurate evaluation of patient condition can provide remarkably better curative effect than early operation. This method shows low incidence of complications and good rehabilitation in patients. It is worth clinical promotion and application.

关 键 词：超早期 小骨窗手术 高血压 脑出血 格拉斯哥昏迷评分 日常生活能力量表 

分 类 号：R651.12[医药卫生—外科学] R544.1[医药卫生—临床医学]