高血压脑出血患者临床治疗中手术时机选择及其效果观察.docVIP

精品论文 参考文献 高血压脑出血患者临床治疗中手术时机选择及其效果观察 邵远胜1 燕小勇1 李学刚2 　　（1广汉市人民医院 四川 广汉 618300） 　　（2重庆市第三军医大学西南医院 重庆 400038） 　　【摘要】 目的：观察高血压脑出血患者临床治疗中的手术时机选择及其效果。方法：选取在我院行开小窗微创大部分血肿清除术的185例HICH患者，根据手术实施时间，分为超早期组（63例，7h以内）、早期组（62例，7～24h）、延迟组（60例，24h后），比较三组的治疗结果。结果：①超早期组、早期组、延迟组的术后出血率分别为20.63％（13/63）、12.90％（8/62）、6.67％（4/60），超早期组最高（P＜0.05）；②从三组术后GOS量表评分来看，超早期组明显高于早期组、延迟组（P＜0.05），但早期组、延迟组的差异较小（P＞0.05）。结论：在高血压脑出血的临床治疗中，术后再出血的发生率随发病到手术时间的延长而降低，但超早期手术可显著提高临床疗效，但同时不可盲目，需做好术中操作等措施。 　　【关键词】 手术时机；高血压脑出血；临床治疗 　　【中图分类号】R544.1 【文献标识码】A 【文章编号】2095-1752（2016）16-0052-02 　　In patients with hypertensive intracerebral hemorrhage surgical timing and its effects in clinical observation Shao Yuansheng, Yan Xiaoyong, The Peoples Hospital of Guanghan City, Sichuan Province, Guanghan 618300 China; Li Xuegang. Southwest Hospital, Third Military Medical University in Chongqing City, Chongqing 400038.China 　　【Abstract】Objective To observe the clinical treatment of hypertensive cerebral hemorrhage patients surgical timing and its effects. Method Selection in our small Windows open most of minimally invasive hematoma removal of 185 patients with HICH, according to the operation time, divided into super early group (63 cases, 7 h), the early group (62 cases, 7-24 h), delayed group (60 cases, after 24 h), and compare three groups of treatment results. Results (1) super early, early group, group delay postoperative hemorrhage rate was 20.63% (13/63), 12.90% (8/62), 6.67% (4/60), the highest super early group (P lt; 0.05); (2) from the point of three groups of postoperative GOS scale score, super early group is significantly higher than early, delayed group (P lt; 0.05), but the early group, delayed smaller difference (P gt; 0.05). Conclusion In the clinical treatment of hypertensive cerebral hemorrhage, the incidence of postoperative bleeding again and decreased with the extension of time of onset to surgery, but super early surgery can significantly improve the clinical