颅内血肿微创清除术治疗高血压脑出血89例疗效分析.docVIP

颅内血肿微创清除术治疗高血压脑出血89例疗效分析 　　[摘要] 目的 探讨临床颅内血肿微创清除术治疗高血压脑出血临床疗效，为临床治疗与手术提供依据。方法 选取该院2015年1月-2016年1月收治的高血压性脑出血的患者178例，随机分为对照组和治疗组各89例，对照组采用传统开颅手术治疗，治疗组采用颅内血肿微创清除术治疗，观察两组治疗效果。结果 治疗组临床疗效总有效率为95.50%，对照组临床疗效总有效率为67.42%，治疗组的临床疗效明显高于对照组患者，P0.05，说明差异有统计学意义。结论 采用临床颅内血肿微创清除术治疗高血压脑出血，患者临床症状明显改善，患者神经功能明显改善，极大地提高了脑出血的治疗效果，减少了死亡率，减轻了致残率，提高了患者的生存质量，而且方法简单，易操作，创伤小，值得临床推广应用。 　　[关键词] 颅内血肿微创清除术；高血压；脑出血；治疗效果 　　[中图分类号] R651.1 [文献标识码] A [文章编号] 1674-0742（2016）06（b）-0088-02 　　[Abstract] Objective To investigate the clinical efficacy in hypertensive basal hemorrhage with the minimally invasive surgery， provides the basis for clinical treatment. Methods 178 hypertensive basal hemorrhage were divided into control group and treatment group， each group was 89 cases. The control group treated with traditional craniotomy， while the treatment group were treated with the minimally invasive surgery. The effects of the two groups were compared. Results The total effective in treatment 93.15%. For control the total effective 82.19%. Comparison of two sets of data， total response rate Chi-square （P0.05）. shows statistically significant differences. Conclusion The used of Intracranial Hematoma with minimally invasive treatment of hypertensive cerebral hemorrhage， the effect of significantly， in patients with clinical symptoms improved significantly， neurological function in patients with significant improvements， greatly improves the Treatment of Cerebral Hemorrhage in effect， reduces mortality， reduce the rate of disability， improve quality of life of patients， and method of simple， easy to operate， trauma small clinical application of worth. 　　[Key words] Minimally invasive surgery； Cerebral hemorrhage； Hypertension； Clinical efficacy. 　　高血压性脑出血是患者在剧烈活动、心情激动时突然发病，表现为剧烈头痛、恶心、呕吐，严重者伴有嗜睡，昏迷，甚至死亡，发展迅速，往往数分钟或数小时病情会发展到高峰。并且死亡率和致残率极高，是目前一种危害性极大的常见病，并且发病率逐年升高[1-3]。轻度患者治疗后往往会出现偏瘫，致残率极高。所以目前对于高血压性脑出血的治疗和预防变得尤为重要，各种治疗方法层出不穷，寻求有效的治疗方法是目前医护人员首要解决的问题。手术治疗是目前治疗高血压性脑出血的主要方法，其中颅内血肿微创穿刺粉碎清除技术是治疗颅内血肿的一种有效的方法，其基本原