微创颅内血肿清除术治疗高血压较小量脑出血的疗效观察  

Clinical observation of minimally invasive removal of intracranial hematoma in the treatment of hypertensive cerebral hemorrhage

作　　者：丁帅[1] 利文倩[1] 

机构地区：[1]广西钦州市第二人民医院,钦州市535000

出　　处：《微创医学》2016年第4期538-540,共3页Journal of Minimally Invasive Medicine

摘　　要：目的观察微创颅内血肿清除术治疗高血压较小量脑出血疾病的临床效果。方法将62例高血压较小量脑出血患者按随机数字表法分成研究组与对照组各31例,研究组予以微创颅内血肿清除术,对照组予以内科综合治疗,比较两组患者的临床治疗效果和神经功能改善情况。结果研究组的总有效率为90.3%（28/31）,高于对照组的77.4%（24/31）,两组比较,差异有统计学意义（χ^2=6.254,P=0.021）;研究组患者治疗后5 d、10 d、15 d的NIHSS评分显著低于对照组患者,两组比较,差异有统计学意义（F=6.218,P=0.034）。结论采用微创颅内血肿清除术治疗高血压较小量脑出血患者,疗效确切,可改善患者的神经功能,值得推广。Objective To observe the clinical effect of minimally invasive removal of intracranial hematoma in patients with a small amount of cerebral hemorrhage. Methods Sixty-two hypertension patients with small cerebral hemorrhage were randomly divided into research group and control group,31 cases in each group. Patients in research group were treated with minimally invasive removal of intracranial hematoma,and patients in the control group were treated with internal medicine comprehensive treatment. The clinical therapeutic effect and improve nerve function were compared after treatment. Results The total effective rate of the research group was 90. 3%（ 28 /31）,higher than 77. 4%（ 24 /31） of control group,the difference was statistically significant（ P 0. 05）. After treatment,the NIHSS scores of 5d,10 d and 15 d in the research group were significantly lower than those of the control group,the differences were statistically significant（ P 0. 05）. Conclusion Minimally invasive removal of intracranial hematoma in the treatment of hypertensive patients with a small amount of cerebral hemorrhage is effective,can improve the patient＇ s neurological function. It is worth promoting.

关 键 词：高血压 脑出血微创 颅内血肿清除术 

分 类 号：R651.1[医药卫生—外科学]