小骨窗血肿清除术与微创穿刺血肿引流术治疗高血压脑出血的效果比较(1)
摘 要：目的 比较分析小骨窗血肿清除术与微创穿刺血肿引流术治疗高血压脑出血患者的临床效果。方法 选择2014年1月～2016年12月在我院进行诊治的196例高血压脑出血患者，随机分为研究组与对照组，各98例。对照组给予小骨窗血肿清除术治疗，研究组给予微创穿刺血肿引流术治疗。观察并记录两组再出血、血肿残留以及肺部感染、颅内感染和应激性溃疡等术后并发症的发生情况。对比两组患者治疗前后的神经功能缺损评分和日常生活能力评分。结果 两组血肿残留以及肺部感染、颅内感染和应激性溃疡等术后并发症的发生率相比差异无统计学意义(P>0.05);研究组再出血的发生率为16.33%，明显低于对照组的38.78%，差异有统计学意义(P<0.05);治疗后两组的神经功能缺损评分均明显降低，与治疗前比较差异有统计学意义(P<0.05)，日常生活能力评分明显升高，与治疗前比较差异有统计学意义(P<0.05);且研究组的神经功能缺损评分低于对照组[(9.15±1.54)分vs(20.15±3.73)分]，日常生活能力评分高于对照组[(93.25±3.37)分vs(82.07±3.54)分]，差异有统计学意义(P<0.05)。结论 微创穿刺血肿引流术治疗高血压脑出血患者的临床效果显著优于小骨窗血肿清除术，不仅可以有效改善患者的神经功能以及日常生活能力，还能降低再出血的发生率，不增加术后并发症，安全有效，值得应用推广。
, 百拇医药
关键词：小骨窗血肿清除术;微创穿刺血肿引流术;高血压脑出血
中图分类号：R651.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.035
文章編号：1006-1959(2018)05-0105-03
Comparison of Small Window Hematoma Clearance and Minimally Invasive Hematoma Drainage in the Treatment of Hypertensive Intracerebral Hemorrhage
HAN Dong
, http://www.100md.com
(Department of Emergency，Armed Police Frontier General Hospital，Shenzhen 51802929，Guangdong，China)
Abstract：Objective To compare and analyze the small bone window hematoma with minimally invasive puncture drainage of hematoma in patients with clinical effect in the treatment of hypertensive cerebral hemorrhage.Methods From January 2014～December 2016 in our hospital for diagnosis and treatment of 196 cases of patients with hypertensive cerebral hemorrhage were randomly divided into study group and control group，98 cases in each group.The control group was given small bone window hematoma and the study group received minimally invasive hematoma drainage treatment.Observe and record the two groups of rebleeding，residual hematoma，pulmonary infection，intracranial infection and stress ulcer and other complications.Compared two groups of patients before and after the neurological deficit scores and ADL scores.Results Two groups of residual hematoma and pulmonary infection，intracranial infection and stress ulcer incidence of postoperative complications had no significant difference(P>0.05);the study group the incidence of rebleeding was 16.33%，significantly lower than the control group 38.78%，the difference was statistically significant(P<0.05);after the treatment of neurological function score the defects of two group were significantly decreased，there was significant difference compared with before treatment(P<0.05)，ADL score increased significantly， there was significant difference compared with before treatment(P<0.05);The neurological deficit score of the study group was lower than that of the control group [(9.15±1.54)vs(20.15±3.73)]，and the ADL score was higher than that of the control group[(93.25±3.37)vs(82.07±3.54)]，and the difference was statistically significant(P<0.05).Conclusion The clinical effect of minimally invasive hematoma drainage in patients with hypertensive intracerebral hemorrhage is significantly better than that of small bone window hematoma clearance.It can not only effectively improve the neurological function and daily living ability of the patients，but also reduce the incidence of rebleeding.It is safe and effective without increasing postoperative complications and is worth popularizing., http://www.100md.com(韩冬)
, 百拇医药
关键词：小骨窗血肿清除术;微创穿刺血肿引流术;高血压脑出血
中图分类号：R651.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.035
文章編号：1006-1959(2018)05-0105-03
Comparison of Small Window Hematoma Clearance and Minimally Invasive Hematoma Drainage in the Treatment of Hypertensive Intracerebral Hemorrhage
HAN Dong
, http://www.100md.com
(Department of Emergency，Armed Police Frontier General Hospital，Shenzhen 51802929，Guangdong，China)
Abstract：Objective To compare and analyze the small bone window hematoma with minimally invasive puncture drainage of hematoma in patients with clinical effect in the treatment of hypertensive cerebral hemorrhage.Methods From January 2014～December 2016 in our hospital for diagnosis and treatment of 196 cases of patients with hypertensive cerebral hemorrhage were randomly divided into study group and control group，98 cases in each group.The control group was given small bone window hematoma and the study group received minimally invasive hematoma drainage treatment.Observe and record the two groups of rebleeding，residual hematoma，pulmonary infection，intracranial infection and stress ulcer and other complications.Compared two groups of patients before and after the neurological deficit scores and ADL scores.Results Two groups of residual hematoma and pulmonary infection，intracranial infection and stress ulcer incidence of postoperative complications had no significant difference(P>0.05);the study group the incidence of rebleeding was 16.33%，significantly lower than the control group 38.78%，the difference was statistically significant(P<0.05);after the treatment of neurological function score the defects of two group were significantly decreased，there was significant difference compared with before treatment(P<0.05)，ADL score increased significantly， there was significant difference compared with before treatment(P<0.05);The neurological deficit score of the study group was lower than that of the control group [(9.15±1.54)vs(20.15±3.73)]，and the ADL score was higher than that of the control group[(93.25±3.37)vs(82.07±3.54)]，and the difference was statistically significant(P<0.05).Conclusion The clinical effect of minimally invasive hematoma drainage in patients with hypertensive intracerebral hemorrhage is significantly better than that of small bone window hematoma clearance.It can not only effectively improve the neurological function and daily living ability of the patients，but also reduce the incidence of rebleeding.It is safe and effective without increasing postoperative complications and is worth popularizing., http://www.100md.com(韩冬)