锥颅穿刺抽吸引流血肿清除术治疗老年高血压脑出血的效果评价.DOC

锥颅穿刺抽吸引流血肿清除术治疗老年高血压脑出血的效果评价 摘要目的探讨老年高血压脑出血HCH）应用锥颅穿刺抽吸引流血肿清除术治疗的临床效果。方法选取我院2014年1月~2016年2月收治的94例老年HCH患者，按照随机数字表法均分为两组。对照组：行常规开颅血肿清除术观察组：行锥颅穿刺抽吸引流血肿清除术结果观察组手术时间、住院时间及住院费用均显著低于对照组（P0.01），术后7 d时血肿清除率显著高于对照组（P0.01）；经Ridit分析，术后6个月时观察组GOS评分效果对照组（P0.05）；观察组术后并发症总发生率为36.17%与对照组的31.91%比较，差异无统计学意义（P0.05）结论关键词高血压脑出血血肿清除术锥颅穿刺抽吸引流老年 Evaluation of the ffect of Puncture and Aspiration for the Treatment of Hypertensive Cerebral Hemorrhage in Elderly Patients HUANG Bin, XU Jing, ZHANG Fu-chun (Dongguan Sanju Hospital, Guangdong, Dongguan523710) Abstract: Objective: To investigate the clinical effect of hypertensive cerebral hemorrhage (HCH) in elderly patients treated by puncture and aspiration. Methods: 94 Elderly patients with HCH were treated in our hospital from January 2014 to February 2016 as the research object. According to the random number table method, the patients were randomly divided into the control group and the observation group. The control group was treated by routine craniotomy hematoma clearing; the observation group was treated by puncture and aspiration. The operation time, hospitalization time, cost of hospitalization, the rate of hematoma clearing after 7 d between the two groups were compared. And the Glasgow prognosis scale (GOS) score at 6 months after operation and the postoperative complications were observed. Results: The operation time, hospitalization time and cost of hospitalization of the observation group were significantly lower than those in the control group (P＜0.01), and the rate of hematoma clearing after 7 d was significantly higher than that in the control group (P＜0.01). The GOS score at 6 months after operation of the observation group was significantly better than that of the control group (P＜0.05); the incidence of postoperative complications in the observation group was 36.17%, compared with 31.91% in the control group, the difference was not statistically significant (P＞0.05). Conclusions: The puncture and aspiration treatment of th