老年高血压脑出血的小骨窗开颅的疗效分析  

Analysis of curative effect of senile hypertensive cerebral hemorrhage by small bone window craniotomy

作　　者：王贵春[1] 吕波[1] 曹永胜[1] 金传兵 

机构地区：[1]安徽省合肥市第三人民医院神经外科,合肥230022

出　　处：《立体定向和功能性神经外科杂志》2017年第2期90-92,共3页Chinese Journal of Stereotactic and Functional Neurosurgery

摘　　要：目的探讨两种手术治疗方式对老年高血压脑出血的疗效分析。方法将69例老年高血压脑出血的患者随机分为观察组和对照组,观察组采用小骨窗开颅手术治疗,对照组采用大骨瓣开颅手术治疗,比较两组患者的疗效。结果观察组住院治疗时间、并发症均显著优于对照组(P<0.05)。观察组的GOS良好率为57.6%显著高于对照组的41.7%(P<0.05)。结论小骨窗开颅手术可显著改善老年高血压脑出血患者的神经功能,提高疗效,缩短住院时间,减少并发症。Objective To investigate the curative effect analysis of two operation therapy modes on senile hypertensive cerebral hemorrhage. Methods 69 cases of Senile hypertensive cerebral hemorrhage patients were divided into the observation group and the control group,the observation group was treated with small bone window craniotomy operation treatment,the control group was used Large bone flap craniotomy operation treatment,and two groups were compared with the curative effect. Results The hospitalization time and complications of the observation group were significantly better than those of the control group（ P 0. 05）. The GOS good rate in the observation group was 57. 6% that was significantly higher than 41. 7% in the control group（ P 0. 05）. Conclusion Small bone window craniotomy can significantly improve the neurological function in patients with Senile hypertensive cerebral hemorrhage,improve curative effect,shorten hospitalization time and reduce complications.

关 键 词：小骨窗开颅手术 大骨瓣开颅手术 老年高血压脑出血 治疗效果 并发症 

分 类 号：R743.34[医药卫生—神经病学与精神病学]