小骨窗开颅术治疗高血压脑出血的效果和安全性分析.docVIP

小骨窗开颅术治疗高血压脑出血的效果和安全性分析 　　[摘要] 目的 分析小骨窗开颅术治疗高血压脑出血的效果和安全性。 方法 选择2011年5月～2013年7月于本院接受治疗的96例高血压脑出血患者，简单随机分为研究组和对照组，对照组采用传统大骨瓣开颅术进行治疗，研究组采用小骨窗开颅术进行治疗。观察并记录两组患者的手术时间、住院时间、再出血等手术情况以及血肿清除率、术后并发症发生率，术后半年ADL分级情况。 结果 研究组患者的血肿清除率明显高于对照组，而手术时间、住院时间、再出血等手术情况以及术后并发症发生率均明显低于对照组，差异有统计学意义（P0.05）；术后研究组患者的总恢复率为85.4%，对照组为60.4%，两组差异有统计学意义（P0.05）。 结论 小骨窗开颅术治疗高血压脑出血安全可靠、效果良好，适合临床推广应用。 　　[关键词] 小骨窗开颅术；大骨瓣开颅术；高血压脑出血 　　[中图分类号] R722.15+1 [文献标识码] A [文章编号] 1674-4721（2014）09（b）-0029-03 　　Analysis the efficacy and safety of small bone window craniotomy for treatment hypertensive cerebral hemorrhage 　　SHEN Jian-zhong 　　Neurosurgery Department，Jinggangshan University Affiliated Hospital，Jinggangshan 343000，China 　　[Abstract] Objective To analyze the efficacy and safety of small bone window craniotomy for treatmenthypertensive cerebral hemorrhage. Methods 96 patients with hypertensive cerebral hemorrhage treated in our hospital from May 2011 to July 2013 were selected and simply randomly divided into the study group and the control group，the control group patients were treated with large trauma craniotomy，the study group patients were treated with small bone window craniotomy.The time of operation and hospital stays，rehaemorrhagia and the hematoma clearance rate，postoperative complications，ADL grading situation after six months of Two groups were recorded and compared. Results The hematoma clearance rate of the study group was significantly higher than that of the control group，but the time of operation，hospital stays，rehaemorrhagia and postoperative complications were significantly lower than those of the control group，the difference was statistically significant （P0.05）.The postoperative recovery rate in study group was 85.4%，the control group was 60.4%，the difference was statistically significant of the two groups （P0.05）. Conclusion The curative effect of small bone window craniotomy for hypertensive cerebral hemorrhage is safe and reliable，it is worthy of application in clinic. 　　[K