早期微创颅内血肿清除术治疗高血压脑出血的临床疗效及对患者血清炎症因子的变化.docVIP

精品论文 参考文献 早期微创颅内血肿清除术治疗高血压脑出血的临床疗效及对患者血清炎症因子的变化 （成都市郫县中医医院外二科 四川 成都 611700） 　　【摘要】目的：分析高血压脑出血患者早期行微创颅内血肿清除术治疗的疗效，且观察患者治疗前后的血清炎症因子变化。方法：选取我院收治的患高血压脑出血的60例患者，将其随机分成两组：对照组包含30例患者，行常规保守治疗；研究组包含30例患者，行早期微创颅内血肿清除术治疗。观察两组的临床疗效与血清炎症因子变化情况。结果：与对照组相比，研究组患者治疗后的总有效率明显较高（P＜0.05）。治疗后2周时，研究组患者的IL-6、TNF-α水平与治疗前相比（P＞0.05），而对照组依旧高于治疗前（P＜0.05）。结论：对高血压脑出血患者采用微创颅内血肿清除术进行治疗疗效显著，且可有效控制患者血清炎症因子水平，值得推广。 　　【关键词】高血压脑出血；早期；微创颅内血肿清除术；疗效 　　【中图分类号】R651 【文献标识码】A 【文章编号】2095-1752（2016）28-0201-02 　　Linical effect of early stage minimally invasive intracranial hematoma in treating hypertensive cerebral hemorrhage and inflammatory factor changes on patients 　　Wang Jianli. Chinese Medicine Hospital of Pi County Chengdu City Department of Surgery Ward 2 　　【Abstract】Objective To investigate the clinical effect of early stage minimally invasive intracranial hematoma in treating hypertensive cerebral hemorrhage and inflammatory factor changes on patients. Methods 60 cases with hypertensive cerebral hemorrhage in our hospital were selected and divided into two groups.30 cases in control group and were given conventional treatment. 30 cases in observation group and were given minimally invasive intracranial hematoma. Compare the clinical effect and inflammatory factor changes of the two groups. Results compared with control group, total efficiency of observation group was higher (P＜0.05). After two weeks’ treatment, IL-6、TNF-αlevel of observation group compared with before treatment (P＞0.05), control group was higher than before treatment (P＜0.05). Conclusion Minimally invasive intracranial hematoma in treating hypertensive cerebral hemorrhage has significant effect and can control inflammatory factor changes. It is worthy of wide application. 　　【Key words】Hypertensive cerebral hemorrhage; Early stage; Minimally invasive intracranial hematoma; Clinical effect 　　高血压脑出血是临床常见的危急重症，其发病率、病死率及致残率均相对较高，严重影响了广大患者的身体生命健康[1-2]。因此，采用科学合理的治疗方案对高血压脑出血患者进行及时有效的治疗