微创血肿清除术与传统开颅手术治疗高血压脑出血的效果对比  

Comparison of the effect of minimally invasive evacuation of hematoma and traditional craniotomy in the treatment of hypertensive cerebral hemorrhage

作　　者：林国诗 谢达华 蔡维平 林瑞生 郭爱顺 LIN Guo-shi;XIE Da-hua;CAI Wei-ping(Zhangzhou Municipal Hospital Affiliated to Fujian Medical University,Zhangzhou 363000,China)

机构地区：[1]福建医科大学附属漳州市医院,363000

出　　处：《中国现代药物应用》2020年第11期22-23,共2页Chinese Journal of Modern Drug Application

基　　金：福建医科大学启航基金项目资助(项目编号:2018QH1210);福建省自然科学基金项目资助(项目编号:2017J01229)。

摘　　要：目的探讨对高血压脑出血患者分别采取微创血肿清除术以及传统开颅手术进行治疗的临床效果。方法74例高血压脑出血患者,采用数字奇偶法分为治疗组与对照组,各37例。治疗组采用微创血肿清除术治疗,对照组采用传统开颅手术治疗。对比两组临床疗效、血肿清除率、术中失血量。结果治疗组总有效率94.59%高于对照组的64.86%,差异有统计学意义(P<0.05)。治疗组血肿清除率(89.35±3.11)%高于对照组的(78.89±5.09)%,术中失血量(99.55±12.45)ml少于对照组的(175.26±31.59)ml,差异均有统计学意义(P<0.05)。结论微创血肿清除术的有效应用,可显著提升高血压脑出血患者的疗效以及血肿清除率,有效减少术中失血量,最终实现高血压脑出血患者的有效预后。Objective To discuss the clinical effect of minimally invasive evacuation of hematoma and traditional craniotomy in the treatment of hypertensive cerebral hemorrhage.Methods A total of 74 patients with hypertensive cerebral hemorrhage were divided into treatment group and control group by digital parity method,with 37 cases in each group.The treatment group was treated by minimally invasive evacuation of hematoma,and the control group was treated by traditional craniotomy.The clinical efficacy,hematoma clearance rate and amount of intraoperative hemorrhage were compared between the two groups.Results The total effective rate 94.59%of the treatment group was higher than that of the control group 64.86%,and the difference was statistically significant(P<0.05).The hematoma clearance rate(89.35±3.11)%was higher than that of the control group(78.89±5.09)%,and amount of intraoperative hemorrhage(99.55±12.45)ml was less than that of the control group(175.26±31.59)ml,and the difference was statistically significant(P<0.05).Conclusion Application of minimally invasive evacuation of hematoma can significantly improve the efficacy and hematoma clearance rate of patients with hypertensive cerebral hemorrhage,and effectively reduce the amount of intraoperative hemorrhage,and ultimately achieve an effective prognosis for patients with hypertensive cerebral hemorrhage.

关 键 词：微创血肿清除术 传统开颅手术 高血压脑出血 血肿清除率 术中失血量 

分 类 号：R651.1[医药卫生—外科学]