微创颅内血肿清除术治疗高血压脑出血临床效果分析.docVIP

微创颅内血肿清除术治疗高血压脑出血临床效果分析 　　[摘要] 目的 对微创颅内血肿清除术治疗高血压脑出血的临床效果进行分析。方法 方便选取该院2013年5月―2015年5月间收治的84例高血压脑出血患者作为临床研究对象，随机分为观察组42例及对照组42例。观察组采取微创颅内血肿清除术进行治疗，对照组采取开颅血肿清除术进行治疗，对比两组患者治疗效果。结果 观察组总有效率为97.62%，对照组总有效率为88.10%，观察组总有效率要高于对照组（P0.05）；观察组手术时间要短于对照组，且术中出血量要少于对照组（P0.05）；观察组共出现并发症3例（7.14%），对照组共出现并发症9例（21.43%），观察组并发症发生率要低于对照组（P0.05）。结论 微创颅内血肿清除术治疗高血压脑出血效果较好，出血量少，术后并发症少。 　　[关键词] 微创；高血压；脑出血 　　[中图分类号] R651 [文献标识码] A [文章编号] 1674-0742（2016）08（b）-0016-03 　　[Abstract] Objective To investigate the effect ofthe minimally invasive intracranial hematoma removal technique in treatment ofhypertensive cerebral hemorrhage.Methods Convenient selection 84 cases of hypertensive cerebral hemorrhage patients in our hospital were selected from May 2013 to May 2015 and randomly divided into 42 cases of observational group and 42 cases of control group. The observational group was treated with minimally invasive intracranial hematoma removal technique， and the control group was treated with hematoma by craniotomy， compared the curative effect of the two groups of patients. Results The total effective rate of observational group was 97.62%， the total effective rate of control group was 88.10%， the total effective rate of observational group was higher than that of control group （P0.05）； The operation time of the observational group was shorter than that of the control group， and the amount of bleeding during the operation was less than that of the control group （P0.05）；There were 3 cases of complications in the observational group， and 9cases of complications in the control group， the complication rate of observational group was lower than the control group （P 0.05）.Conclusion The minimally invasive intracranial hematoma removal technique intreatment of hypertensive cerebral hemorrhagecan effectively remove the hematoma，the operation time is short，the method has less postoperative complications. 　　[Key words] Minimally invasive； Hypertension； Cerebral hemorrhage 　　高血压脑出血是指由高血压所导致的脑实质内血管自发性出血