探讨超早期小骨窗微创脑出血清除术治疗高血压脑出血的临床效果李明.docVIP

精品论文 参考文献 探讨超早期小骨窗微创脑出血清除术治疗高血压脑出血的临床效果李明 大庆油田总医院 163000 【摘 要】目的：探讨超早期小骨窗微创脑出血清除术对高血压脑出血的临床效果。方法：此次研究的对象是选取2012年7月-2015年7月来笔者所在医院治疗高血压脑出血的患者88例，将其临床资料进行回顾性分析，并分为超早期组（发病在6 h内）和早期组（发病在6～12 h），各44例，两组患者均进行静脉麻醉并实施微创下血肿清除术，观察比较两组患者的再出血率及临床疗效。结果：超早期组患者的总有效率（95.45%）显著优于早期组（65.91%），差异有统计学意义（Plt;0.05）。超早期组患者的住院时间与手术时间均显著短于早期组，其并发症的发生率显著低于早期组，血肿清除率显著高于早期组，差异均有统计学意义（Plt;0.05）。结论：超早期小骨窗微创下血肿清除术能够有效治疗高血压脑出血，且不良反应少，安全性高，值得临床广泛应用。 　　【关键词】超早期；高血压脑出血；临床疗效 [Abstract] Objective：To investigate the clinical effect of surgery for removal of hypertensive cerebral hemorrhage cerebral hemorrhage minimally invasive microsurgery. Methods：the subjects of this study were 88 cases of hypertensive cerebral hemorrhage patients from July 2012 -2015 year in July to our hospital，a retrospective analysis，and divided into ultra early group（onset within 6 h）and early stage group（the incidence in 6 ~ 12 h），each of 44 cases，two groups of patients were treated with intravenous anesthesia and implementation of minimally invasive evacuation of hematoma，the two groups were observed and compared the rebleeding rate and clinical efficacy. Results：the total effective rate（95.45%）was significantly better than that of early group（65.91%），and the difference was statistically significant（Plt;0.05）. Ultra early group hospitalization time and operation time were significantly shorter than the early group，the incidence rate of complications was significantly lower than that in the early group，hematoma clearance rate was significantly higher than that in the early group，the differences were statistically significant（Plt;0.05）. Conclusion：microsurgery minimally invasive hematoma can be effective in the treatment of hypertensive cerebral hemorrhage，and less adverse reaction，high safety，worthy of clinical application. [Key words] super early stage；hypertensive cerebral hemorrhage；clinical curative effect 高血压脑出血指的是因长期脑动脉硬化和高血压导致脑内小动脉发生一系列病理性改变而引起的破裂出血，是临床上较为常见的疾病，该病起病急，且一般较为危重，致残率和病死率都较高，严重威胁患者的生活质量与生命安全，所