超早期显微手术治疗高血压基底节区脑出血的临床疗效分析  

Clinical effect of ultra-early microsurgery in treatment of hypertensive basal ganglia hemorrhage

作　　者：陈质雅[1] 洪素千[1] 

机构地区：[1]厦门大学附属第一医院,福建厦门361000

出　　处：《心血管病防治知识（学术版）》2017年第10期6-8,共3页Prevention and Treatment of Cardiovascular Disease

摘　　要：目的讨论高血压基底节区脑出血患者在实施超早期显微手术治疗的临床效果。方法根据硬币法将2016年3月至2017年3月我院收治的40例高血压基底节区脑出血患者分为早期组和超早期组(发病在7个小时之内),其中超早期组20例患者实施小骨窗显微手术治疗,早期组20例患者实施早期显微外科手术治疗,经过治疗后对两组患者的治疗效果进行比较分析。结果 (1)经过治疗后发现,超早期组患者的治愈率55.0%明显优于早期组患者20.0%,组间比较具有差异(P<0.05)。(2)经过治疗后发现,超早期组患者血肿清除情况明显优于早期组患者,组间比较具有差异(P<0.05)。结论超早期显微手术治疗高血压基底节区脑出血具有清除血肿效果好、电凝定位准确、减少对周围脑组织造成压迫等优势,有效的避免了再次出血的几率,值得推广。Objective To investigate the clinical effect of ultra-early microsurgery in the treatment of hypertensive basal ganglia hemorrhage. Methods A total of 40 patients with hypertensive basal ganglia hemorrhage who were admitted to our hospital from March 2016 to March 2017 were randomly divided into early group and ultra-early group（within 7 hours after onset）, with 20 patients in each group. The patients in the ultra-early group were given small bone window microsurgery, and those in the early group were given early microsurgery. The treatment outcome was compared between the two groups. Results After treatment, the ultra-early group had a significantly higher cure rate than the early group（55.0% vs 20.0%, P0.05）. The ultra-early group also had significantly better hematoma clearance than the early group（P〈0.05）. Conclusion In the treatment of hypertensive basal ganglia hemorrhage, ultra-early microsurgery achieves good hematoma clearance and accurate localization of electrocoagulation and can reduce the oppression of adjacent brain tissue and effectively avoid rebleeding. Therefore, it holds promise for clinical application.

关 键 词：高血压基底节区脑出血 超早期显微手术 临床效果 

分 类 号：R651.12[医药卫生—外科学]