高血压性基底节区出血实施微创血肿清除术临床观察.docVIP

高血压性基底节区出血实施微创血肿清除术临床观察 　　【摘要】目的 探讨采用微创血肿清除术治疗高血压性基底节区出血的疗效。方法 随机选取我院2012年8月～2014年9月收治的高血压基底节区出血患者60例，按照是否实施手术治疗将其分为实验组和对照组，对照组患者实施保守治疗，实验组患者采用微创血肿清除术进行治疗，对两组患者的疗效进行对比分析。结果 实验组患者的临床治疗优良率明显高于对照组患者，差异具有统计学意义（P0.05）；实验组患者术后NIHSS评分、BI评分明显优于对照组患者，差异具有统计学意义（P0.05）。结论 采用微创血肿清除术对高血压性基底节区脑出血进行治疗，能够有效降低脑损伤，促进患者的神经功能恢复，疗效显著，安全可靠，建议在临床上进一步推广。 　　【关键词】高血压性基底节区出血；微创血肿清除术；临床观察 　　【中图分类号】R651.1 【文献标识码】A 【文章编号】ISSN.2095-6681.2015.06.00.03 　　Clinical observation of hypertensive basal ganglia hemorrhage implement minimally invasive hematoma removal 　　WANG Cui-xiang 　　（Shangqiu city the first peoples hospital Department of Neurosurgery， Henan Shangqiu 476100，China） 　　【Abstract】Objective To evaluate the effect of minimally invasive surgery for the treatment of hematoma hypertensive basal ganglia hemorrhage.Methods Randomly selected in our hospital in August 2012～2014 September hypertensive basal ganglia hemorrhage in 60 patients，according to whether the implementation of surgery were divided into experimental and control groups，including the implementation of conservative treatment of patients in the control group，the experimental patients using minimally invasive hematoma treatment，clinical treatment groups were compared and analyzed.Results Excellent rate of clinical treatment of patients in the experimental group was significantly higher in patients，the difference was significant（P0.05）；patients in the experimental group NIHSS score，BI scores than the control group of patients，the difference was significant（P0.05）.Conclusion Minimally invasive hematoma on hypertensive basal ganglia hemorrhage treatment，can effectively reduce brain damage，and promote the recovery of nerve function in patients，a significant effect，safe and reliable，it is recommended to further promote in clinical practice. 　　【Key words】Hypertensive basal ganglia hemorrhage；Minimally invasive hematoma；Clinical observation 　　高血压性脑出血是一种常见的高血压性并发症，具有较高的致死率和致残率，对患者的生命健康造成严重威胁[1]。目前临床主要采用保守治疗和手术治疗对高血压性基底节区出血患者进行治疗，其中