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目的观察并分析在高血压脑出血患者的临床治疗过程中,应用显微镜下行小骨窗血肿清除术的临床疗效。方法 78例高血压脑出血患者随机分为对照组和试验组,各39例。对照组采用单纯内科综合治疗方案,试验组在对照组基础上,采用显微镜下行小骨窗血肿清除治疗。结果治疗后,试验组患者采总有效率为97.4%(38/39)高于常规治疗的对照组76.9%(30/39),差异有统计学意义(P<0.05)。试验组术后不同时期的神经功能缺损情况均显著优于对照组,差异有统计学意义(P<0.05)。结论在高血压脑出血患者的临床治疗过程中,应用以显微镜下行小骨窗血肿清除术为治疗方案的临床效果显著,可有效改善患者的相关临床指标,有效控制血压及出血量,应广泛推广。
Objective To observe and analyze the clinical effect of microsurgical removal of small bone window hematoma during the clinical treatment of patients with hypertensive intracerebral hemorrhage. Methods 78 cases of hypertensive intracerebral hemorrhage were randomly divided into control group and experimental group, 39 cases each. In the control group, a simple internal medicine comprehensive treatment was used. On the basis of the control group, the experimental group was treated with microsurgical removal of the small bone window hematoma. Results After treatment, the total effective rate of the patients in the experimental group was 97.4% (38/39), which was significantly higher than that of the control group (76.9%, 30/39). The difference was statistically significant (P <0.05). The neurological deficits in the experimental group at different stages after operation were significantly better than those in the control group, with significant difference (P <0.05). Conclusions In the clinical treatment of patients with hypertensive intracerebral hemorrhage, the clinical application of microsurgical removal of small bone window hematoma as a treatment regimen is significant. It can effectively improve the clinical parameters of patients and effectively control the blood pressure and blood loss, which should be widely promoted.