摘要
目的探讨应用小骨窗颅内血肿清除术治疗高血压性脑出血患者的临床疗效。方法选取2014年9月至2017年9月本院收治的202例高血压性脑出血患者作为研究对象,将其采用随机数字表法分成实验组与对照组,每组各101例患者。对照组患者采用传统开颅手术方式进行治疗,实验组患者则采取小骨窗颅内血肿清除术进行治疗。观察比较2组的临床治疗效果,并记录比较2组患者的术中出血量、手术操作时间以及住院时间。结果治疗后实验组患者中显效41例、有效51例,总有效率为91.08%,对照组患者治疗后显效36例、有效45例,总有效率为80.19%,实验组治疗总有效率明显高于对照组,差异具有统计学意义(P<0.05)。实验组患者的术中出血量、手术操作时间和住院时间均显著低于对照组患者,组间差异均有统计学意义(P<0.05)。结论应用小骨窗颅内血肿清除术进行治疗高血压性脑出血,能有效提高临床治疗有效率,且对患者的损伤小,有助于患者术后恢复,缩短住院时间,具有临床进一步推广应用的价值。
Objective To investigate the clinical effect of small bone window cranial hematoma clearance for hypertensive intracerebral hemorrhage. Methods 202 patients with hypertensive intracerebral hemorrhage admitted in our hospital from September 2014 to September 2017 were selected as study subjects. Accoding the random digital table method, they were randomly divided into experimental group and control group, with 101 patients in each group. The patients in the control group were treated with traditional craniotomy, and the patients in the experimental group were treated with small bone window intracranial hematoma clearance. The therapeutic effect of the two groups was observe and compared. And the intraoperative bleeding, operative time and hospitalization time were recorded and compared between the two groups. Results After treatment, the experimental group had 41 cases of remarkable effect, 51 cases of effective, the total effective rate was 91.08%. The control group had 36 cases of remarkable effect and 45 cases of effective, the total effective rate was 80.19%. The total effective rate in the experimental group was significantly higher than that in the control group, the difference was statistically significant（P〈0.05）. The amount of intraoperative bleeding, operation time and hospital stay in the experimental group were significantly lower than those in the control group, there was significant difference between the two groups（P〈0.05）. Conclusion The treatment of hypertensive intracerebral hemorrhage with small bone window cranial hematoma clearance can effectively improve the effective rate of clinical treatment and reduce the injury to the patients. It is helpful for the patients to recover after operation and shorten the hospital stay. It has the value of clinical popularization and application.
作者
张秀和
杜国然
赵树林
王镇
Zhang Xiuhe;Du Guoran;Zhao Shulin;Wang Zhen(Department of Neurosurgery,People＇s Hospital of Qingyun County,Dezhou 253700,Shandong,Chin)
出处
《血管与腔内血管外科杂志》
2018年第1期33-37,共5页
Journal of Vascular and Endovascular Surgery
关键词
小骨窗颅内血肿清除术
高血压性脑出血
治疗效果
small bone window intracranial hematoma
hypertensive intracerebral hemorrhage
therapeutic effect
