不同手术时机微创治疗高血压脑出血的临床分析(1)
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[摘要] 目的：探讨不同手术时机微创治疗高血压脑出血的临床效果。方法：高血压脑出血患者100例，随机分成治疗组与对照组，每组各50例，治疗组在发病后0～48 h内手术，对照组在发病后48～96 h内手术，两组均采用微创治疗。结果：经过治疗后，对照组血肿完全清除率为20.0%，治疗组血肿完全清除率为70.0%，明显高于对照组，差异有统计学意义(P<0.05)。术后6个月随访，治疗组的生活能力明显好于对照组，两组在生活能力方面，差异有统计学意义(P<0.05)。结论：早期微创手术治疗高血压脑出血能够更有效地清除血肿，恢复日常生活能力，值得推广应用。
[关键词] 手术时机；高血压脑出血；微创治疗
[中图分类号] R743.34 [文献标识码] B [文章编号] 1673-7210(2012)01(a)-160-02
The analysis of different timing of surgery of minimally invasive treatment on hypertensive cerebral hemorrhage
MENG Xianghong
Department of Emergency, the People's Hospital of Longgang District in Shenzhen City, Guangdong Province, Shenzhen 518115, China
[Abstract] Objective: To investigate the effects of different timing of surgery of minimally invasive treatment on hypertensive cerebral hemorrhage. Methods: 100 patients with hypertensive cerebral hemorrhage were randomly divided into two groups, the treatment group and control group, each group had 50 cases, the treatment group did surgery after 0-48 hours, the control group did surgery after 48-96 hours, both groups were used minimally invasive treatment. Results: After treatment, the complete removal of the hematoma in the treatment group was 70.0%, which was significantly higher than that in control group (20.0%) (P<0.05). After 6 months of follow-up, the treatment group in life skills was significantly better than the control group, which was significantly different (P<0.05). Conclusion: Early treatment of minimally invasive treatment on hypertensive cerebral hemorrhage can remove the hematoma effectively, and restore daily living skills, which is worthy of application.
[Key words] Timing of surgery; Hypertensive cerebral hemorrhage; Minimally invasive treatment
高血压脑出血是一种常见的严重危害人类健康的疾病，我国高血压脑出血年发病率在6‰左右[1]。在发生机制上，脑出血患者的血压一般比平时高，是由于脑出血后颅内压增高，机体为保障脑组织供血的一种代偿反应。当颅内压下降时血压也随之下降。一般来说，对大脑半球出血量在30 ml以上和小脑出血量在10 ml以上者，均可考虑手术治疗，开颅清除血肿，对破入脑室者可行脑室穿刺引流。经皮颅骨钻孔、血肿穿刺碎吸也为其治疗方法[2]。本文从2006年1月～2011年1月我院收住的100例高血压脑出血患者出发，探讨了不同手术时机微创治疗高血压脑出血的临床效果，现报道如下：
1 资料与方法
1.1 一般资料
本文从2006年1月～2011年1月我院收住高血压脑出血患者中筛选出符合标准的患者100例，其中，男60例，女40例；年龄30～76岁，平均46.5岁；血肿情况：30～60 ml为60例，61～80 ml为30例 ......
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