微创颅内血肿清除术治疗高血压脑出血的临床疗效  

To Discuss the Clinical Efficacy of Hypertensive Cerebral Hemorrhage Treated by Minimally Invasive Intracranial Hematoma Removal

作　　者：聂秀涛[1] 

机构地区：[1]日照市人民医院神经外科,山东日照276800

出　　处：《中国卫生标准管理》2017年第6期51-53,共3页China Health Standard Management

摘　　要：目的探讨微创颅内血肿清除术治疗高血压脑出血的临床疗效。方法研究对象选取我院2015年2月—2016年10月所收治的56例高血压脑出血患者,按照治疗方式将患者分成实验组和对照组,每组各28例,对照组治疗方式采用传统开颅术进行,实验组患者治疗方式则采用微创颅内血肿清除术。结果手术治疗之后,实验组患者治疗总有效率为92.86%;对照组患者治疗总有效率为75.00%,两组患者在治疗总有效率上对比,差异具有统计学意义(P<0.05)。实验组患者手术时间以及术中出血量分别为(49.56±6.45)min、(116.05±34.04)ml,优于对照组患者的(91.02±9.14)min、(284.15±43.53)ml,两组患者在手术时间以及术中出血量上对比,差异具有统计学意义(P<0.05)。结论在对高血压脑出血患者治疗的过程中,采用微创颅内血肿清除术效果更佳,能够有效地缩短手术时间,减少术中出血量,最大程度保障治疗效果。Objective To discuss the clinical efficacy of hypertensive cerebral Hemorrhage treated by Minimally invasive intracranial hematoma removal. Methods Selected our hospital 56 cases of hypertensive intracerebral hemorrhage patients as the study object from February 2015 to October 2016, patients were divided into experimental and control groups according to quality, and 28 cases in each group, the control group was treated by traditional craniotomy, patients in the experimental group were treated by minimally invasive intracranial hematoma removal. Results After surgery, the total effective rate of the treatment group was 92.86%, the total effective rate in the control group was 75.00%, two groups of patients in the treatment of the total efficiency difference was statistically significant（P 〈 0.05）.The operation time and intraoperative blood loss of the experimental group respectivety（49.56±6.45）min; （116.05±34.04）ml; significantly better than the control group of patients（91.02±9.14）min; （284.15±43.53）ml, there were significant differences in operative time and blood loss between the two groups（P 〈 0.05）. Conclusion In the treatment of patients with hypertensive intracerebral hemorrhage in the process, adopt minimally invasive intracranial hematoma removal,the effect is better, could effectively shorten the operation time, reduce the amount of intraoperative bleeding, maximum degree protection of treatment.

关 键 词：微创颅内血肿清除术 高血压 脑出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]