分析比较微创穿刺血肿清除术及小骨窗开颅血肿清除术对高血压脑出血效果.doc

分析比较微创穿刺血肿清除术及小骨窗开颅血肿清除术对高血压脑出血效果 　　【摘要】 目的 研究采用微??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（P0.05）。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（P0.05）。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 【关键词】 脑出血；高血压；微创穿刺血肿清除术；小骨窗开颅血肿清除术；治疗结果 DOI：10.14163/j.cnki.11-5547/r.2017.09.016 Analysis and comparison of effects by minimally invasive puncture evacuation of hematoma and small window craniotomy evacuation of hematoma for hypertensive cerebral hemorrhage LI Ya-long. Guangdong Huizhou City Boluo County People’s Hospital， Huizhou 516100， China 【Abstract】 Objective To research curative effects by minimally invasive puncture evacuation of hematoma and small window craniotomy evacuation of hematoma for hypertensive cerebral hemorrhage. Methods A total of 90 patients with hypertensive cerebral hemorrhage were randomly divided by their admission number into observation group and control group， with 45 cases in each group. The control group received small window craniotomy evacuation of hematoma for treatment， and the observation group received minimally invasive puncture evacuation of hematoma for treatment. Comparison was made on clinical effect， preoperative and postoperative neurological scores， and activity of daily living at discharge between the two groups. Results The observation group had total effective rate in treatment as 88.89% and mortality as 4.44%. The control group had total effective rate in treatment as 86.67% and mortality as 6.67%. There was no statistically significant difference of total effective rate in treatment and mortality between the two groups （P0.05）. Both groups had lower National Institutes of Health Stroke Scale （NIHSS） scores after operation than those before operation， and the observation group had lower score than the contr