高血压脑出血微创手术不同治疗时机对疗效及预后的影响研究.docVIP

精品论文 参考文献 高血压脑出血微创手术不同治疗时机对疗效及预后的影响研究 罗伟坚 陈东 (暨南大学第二临床医学院深圳市人民医院神经外科 广东深圳 518000) 【摘要】目的：探讨在不同的治疗时机采用微创手术治疗高血压脑出血的疗效和预后的差异。方法：选择于2011年7月~2012年7月在我院治疗的72例高血压脑出血患者作为研究对象，根据治疗时机的不同将其分为观察组和对照组，每组36例，观察组在脑出血后6h内进行微创手术治疗，而对照组则是在脑出血6h后进行微创手术治疗，对比两组患者的治疗效果和再出血情况。结果：观察组显效24例，有效10例，无效2例，总有效率94.4%（34/36），对照组显效16例，有效11例，无效9例，总有效率75%（27/36），组间差异具统计学意义，观察组有6例再出血，2例进行再开颅手术，对照组有8例再出血，3例进行再开颅手术，两组在再出血和再开颅方面的差异无统计学意义。结论：把握好手术时机是治疗高血压脑出血的关键，越早进行微创手术治疗，效果和预后就越好。 【关键词】高血压脑出血 微创手术 治疗时机 影响 【中图分类号】R659 【文献标识码】A 【文章编号】2095-1752（2013）17-0249-01 The influence on efficacy and prognosis with different timing of Surgery of Minimally Invasive Treatment on Hypertensive Cerebral Hemorrhage 【Abstract】 Objective: To investigate the influence on efficacy and prognosis with different timing of surgery of minimally invasive treatment on hypertensive cerebral hemorrhage. Method: Selected 72 cases with hypertensive cerebral hemorrhage treated in our hospital from July 2011 to July 2012, divided into observation group and control group according to the timing of treatment, 36 in each, the observation group did surgery in 6h, the control group did surgery after 6h, Comparing the treatment effects and rebleeding of the two groups. Result: After the treatment, 24 of markedly effective, 10 of effective, 2 of invalid in the observation group, the total efficiency is 94.4%（34/36）, 16 of markedly effective, 11 of effective, 9 of invalid in the control group, the total efficiency is 75%（27/36）, Statistically significant difference between the two groups, 6 of rebleeding, 2 of craniotomy in the observation group, 8 of rebleeding, 3 of craniotomy in the observation group, no significant difference on rebleeding and re-craniotomy of the two groups. Conclusion: A good grasp of timing of surgery is the key to the treatment of hypertensive intracerebral hemorrhage, an early treatment can get a better efficacy and prognosis. 【Key words】Hypertensive intracerebral hemorrh