微创颅内血肿粉碎清除术治疗高血压性脑出血患者临床疗效和安全性.docVIP

微创颅内血肿粉碎清除术治疗高血压性脑出血患者临床疗效和安全性 　　【摘要】 目的：研究微创颅内血肿粉碎清除术治疗高血压性脑出血患者临床疗效和安全性。方法：选择高血压脑出血患者作为本研究的研究对象，随机分为给予颅内血肿微创清除术的观察组和碎吸穿刺清除术的对照组，观察治疗效果和安全性相关指标。结果：观察组患者剧烈头痛、频繁呕吐、意识障碍、癫痫发作、生命体征剧烈波动、病理征阳性缓解例数均明显多于对照组，发生再出血、颅内感染的例数以及NIHSS评分、CSS评分均明显低于对照组。结论：颅内血肿微创清除术能改善治疗效果、减小神经功能损害和并发症，具有积极的临床价值。 　　【关键词】 颅内血肿； 高血压性脑出血； 微创； 疗效/安全性 　　Clinical Efficacy and Safety of Minimally Invasive Intracranial Evacuation of Hematomas in Treating Hypertensive Cerebral Hemorrhage/XIA Zhong-bin，YOU Jian-you，NIE Hong-bing.//Medical Innovation of China，2013，10（35）：010-012 　　【Abstract】 Objective： To study the clinical efficacy and safety of minimally invasive intracranial evacuation of hematomas in treating hypertensive cerebral hemorrhage. Method：Patients with hypertensive intracerebral hemorrhage were collected and randomly divided into observation group and control group， the observation group were treated with minimally invasive intracranial evacuation of hematomas， and the control group were treated with puncture dissection. Then treatment effect and safety index were observed. Result：The remittent cases of severe headache， frequent vomiting， conscious disturbance， seizures， violent fluctuation of vital signs， positive pathologic reflex in the observation group were significantly more than those in the control group.Bleeding， intracranial infection cases and NIHSS score， CSS score of the observation group were significantly lower than those in the control group. Conclusion：Minimally invasive surgery of intracranial hematoma has the clinical value of positive， it can improve the therapeutic effect and reduce the neurological impairment and complications. 　　【Key words】 Intracranial hematoma； Hypertensive cerebral hemorrhage； Minimally invasive； Efficacy/safety 　　First-author’s address：The Affliated Hospital of Jiujiang College，Jiujiang 332000，China 　　doi：10.3969/j.issn.1674-4985.2013.35.005 　　高血压性脑出血（HICH）发病急、进展快，严重威胁人类的健康，已成为威胁人类健康的重要疾病。随着理论研究和技术的不断提高，对于高血压性脑出血的治疗向着微侵袭手术方向发展。“颅内血肿微创清除术”是一