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目的研究采用微创穿刺血肿清除术与小骨窗开颅血肿清除术对高血压脑出血的治疗效果。方法 90例高血压脑出血患者,根据患者住院号随机分为观察组和对照组,每组45例。对照组患者采用小骨窗微创脑出血清除术进行治疗,观察组患者采用微创血肿清除术进行治疗。比较两组患者临床治疗效果、治疗前后患者神经功能评分、出院时日常生活能力等。结果观察组患者治疗总有效率为88.89%,死亡率为4.44%;对照组患者治疗总有效率86.67%,死亡率为6.67%,两组患者治疗总有效率与死亡率比较差异无统计学意义(P>0.05)。两组患者术后美国国立卫生院神经功能缺损量表(NIHSS)评分较术前明显降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。两组患者出院时日常生活能力比较差异无统计学意义(P>0.05)。结论采用微创穿刺血肿清除术治疗高血压脑出血效果明显,值得在临床中推广应用。
Objective To study the therapeutic effect of minimally invasive puncture hematoma and small craniotomy hematoma on hypertensive intracerebral hemorrhage. Methods Ninety patients with hypertensive intracerebral hemorrhage were randomly divided into observation group and control group according to their hospitalization numbers, with 45 cases in each group. Patients in the control group were treated with minimally invasive intracerebral hemorrhage with small bone window, and patients in the observation group were treated with minimally invasive hematoma removal. The clinical effects of two groups were compared, the neurological scores of patients before and after treatment, daily living ability at discharge and so on. Results The total effective rate was 88.89% in the observation group and the death rate was 4.44%. In the control group, the total effective rate was 86.67% and the mortality rate was 6.67%. There was no significant difference between the two groups in the total effective rate and the mortality rate (P> 0.05). The scores of NIHSS in the two groups were significantly lower than those before the operation, and the scores in the observation group were lower than those in the control group (P <0.05). There was no significant difference in daily living ability between the two groups when discharged from hospital (P> 0.05). Conclusion The minimally invasive puncture hematoma is effective in treating hypertensive intracerebral hemorrhage and is worth popularizing in clinical practice.