高血压脑出血患者行个性化手术治疗的疗效和对术后生活质量的影响.docVIP

高血压脑出血患者行个性化手术治疗的疗效及对术后生活质量的影响 摘要：目的：探究高血压脑出血患者行个性化手术治疗的疗效及对术后生活质量的影响。方法：选取我院于2012年10月~2014年10月期间收治的高血压脑出血患者212例，随机将所有患者分为观察组（106例）和对照组（106例），对照组使用单一的小骨窗血肿清除术，观察组患者根据患者实际情况（出血量、出血位置、一般情况等）选用个性化的手术方案，最后比较两组患者的治疗效果以及手术后的生活能力的恢复情况。结果：经过以上方式的治疗，观察组患者的住院时间要明显少于对照组的患者，血肿残留量也明显小于对照组的患者，格拉斯哥昏迷评分明显高于对照组患者，以上P＜0.05，差异具有统计学意义；除此之外，观察组的痊愈率以及总有效率明显高于对照组，术后三个月的日常生活能力评分要高于对照组，P＜0.05，差异具有统计学意义。结论：对高血压脑出血患者实行个性化手术能显著改善治疗效果，提高患者术后的生活质量，比传统的单一手术方式更有效，值得在临床上推广使用。 关键词：高血压脑出血；个性化手术方式；治疗效果；生活质量The curative effect of hypertensive cerebral hemorrhage patients personalized surgical treatment and the impact on the postoperative quality of life Abstract: Objective: to explore the curative effect of hypertensive cerebral hemorrhage patients personalized surgical treatment and the impact on the postoperative quality of life. Methods Selection our hospital in October 2012 to October 2014 admitted during the period of 212 cases of hypertensive cerebral hemorrhage patients, all patients were randomly divided into observation group (106 cases) and control group (106 cases) and control group using a single small bone window for removal of hematoma, according to the actual circumstance of patients in observation group patients (the bleeding, bleeding location, general situation, etc.) choose personalized surgical plan, finally compare two groups of patients after surgery and treatment effect of life ability.Results: After the above way of treatment, the observation group of patients hospitalized time significantly less than the control group of patients, residual hematoma is significantly smaller than the control group of patients, Glasgow coma scale, significantly higher than the control group patients above P 0.05, the difference is statistically significant;In addition, the cure rate and total effective rate of observation group was obviously higher than that of control group, after three months of daily life ability score higher than the control group, P 0.05, the difference is statistically sig