颅内血肿微创清除术治疗高血压脑出血的临床效果  

Clinical effect of minimally invasive removal of intracranial hematoma in the treatment of hypertensive intracerebral hemorrhage

作　　者：陈泽鑫[1] 蔡洁波[1] 黄广俊 CHEN Ze-xin;CAI Jie-bo;HUANG Guang-jun(The Third Department of Neurology,Jieyang People′s Hospital,Guangdong Province,Jieyang,522095,China)

机构地区：[1]广东省揭阳市人民医院神经外三科

出　　处：《中国当代医药》2019年第26期47-49,共3页China Modern Medicine

摘　　要：目的探讨并分析颅内血肿微创清除术治疗高血压脑出血的临床效果。方法选取2015年1月~2018年12月我院收治的60例高血压脑出血患者作为研究对象,根据随机数字法分为对照组(30例,开颅手术组)和观察组(30例,颅内血肿微创清除术组),观察并比较两组患者的手术时间、出血量、住院时间、生活能力评分、神经功能评分及治疗效果。结果观察组患者的出血量少于对照组,手术时间、住院时间均短于对照组,差异有统计学意义(P<0.05);治疗前,两组患者的神经功能及生活能力评分比较,差异无统计学意义(P>0.05);治疗后,两组患者的神经功能评分均低于治疗前,生活能力评分高于治疗前,且观察组患者的神经功能评分低于对照组,生活能力评分高于对照组,差异有统计学意义(P<0.05);观察组患者的治疗总有效率(96.67%)高于对照组(80.00%),差异有统计学意义(P<0.05)。结论高血压脑出血患者实施颅内血肿微创清除术治疗的临床效果显著,可明显改善患者的神经功能和预后,具有较高的价值,值得在今后的临床工作中积极推广和应用。Objective To explore and analyze the effect of minimally invasive removal of intracranial hematoma in the treatment of hypertensive intracerebral hemorrhage.Methods Sixty patients with hypertensive intracerebral hemorrhage treated in our hospital from January 2015 to December 2018 were selected as the subjects.They were divided into control group(n=30,craniotomy group)and observation group(n=30),minimally invasive removal of intracranial hematoma group)by random number table method.The operation time,blood loss,hospitalization time,living ability score,neurological function score and therapeutic effect of the two groups were observed and compared.Results The amount of bleeding in the observation group was less than that in the control group,and the operation time and hospitalization time in the observation group were significantly shorter than those in the control group(P<0.05).There was no significant difference in the scores of neurological function and living ability between the two groups before treatment(P>0.05).After treatment,the neurological function score of the two groups was lower than that before treatment,and score of living ability was higher than that before treatment,and the score of neurological function in the observation group was lower than that in the control group,and the score of living ability was higher than that in the control group,the differences were statistically significant(P<0.05).The total treatment effective rate in the observation group(96.67%)was significantly higher than that in the control group(80.00%),the difference was statistically significant(P<0.05).Conclusion The clinical effect of minimally invasive removal of intracranial hematoma in patients with hypertensive intracerebral hemorrhage is remarkable,which can obviously improve the neurological function and prognosis of patients with hypertensive intracerebral hemorrhage,and has high value.it is worth popularizing and applying actively in the future clinical work.

关 键 词：高血压脑出血 颅内血肿微创清除术 临床效果 神经功能 

分 类 号：R651[医药卫生—外科学]