高血压病所致基底节区脑出血手术治疗与非手术治疗临床疗效分析.docVIP

高血压病所致基底节区脑出血手术治疗与非手术治疗临床疗效分析 　　【摘要】 目的：通过试验对比并探讨高血压病所致基底节区脑出血手术治疗与非手术治疗的临床疗效差异。方法：选取2013年4月-2014年4月在笔者所在医院治疗的100例高血压所致的基底节区出血患者，根据患者自主选择是否手术治疗分成手术组和非手术组各50例，手术组采用CT定位下颞部钻孔置管引流术联合药物治疗，非手术组仅采用单纯药物治疗，观察比较两组患者的近期疗效和远期疗效。结果：两组因出血量增加转开颅手术的比例无明显差异（P0.05）。手术组的继发肺部感染和应激性溃疡的发生率均明显低于非手术组，住院时间明显短于非手术组，Barthel评分满意度70.0%（35/50）明显高于非手术组的50.0%（25/50），差异均有统计学意义（P0.05）。结论：对于高血压所致的基底节区脑出血患者的治疗，手术治疗的近期疗效和远期疗效均明显优于非手术治疗，建议临床首选手术方式治疗高血压所致的基底节区脑出血患者。 　　【关键词】 高血压病； 基底节区脑出血； 手术治疗； 非手术治疗； 疗效分析 　　中图分类号 R743.34 文献标识码 B 文章编号 1674-6805（2014）35-0039-02 　　【Abstract】 Objective：To compare and investigate the differences of clinical efficacy of surgery and non-surgical in the treatment of hypertension caused by basal ganglia hemorrhage through the experiment.Method：100 basal ganglia hemorrhage patients caused by hypertension admitted to our hospital from April 2013 to April 2014 were selected，they were divided into the surgery group and the non-surgical group according to the patients chose whether or not to operation treatment，50 cases in each group.The surgery group was treated with CT positioning under temporal drilling catheter drainage combined with drug therapy，the surgical group was only treated with drug therapy.The short term and long term effects between the two groups were observed and compared.Result：There was no statistically significant difference in the proportion of two groups during treatment because of the increased amount of bleeding into undergoing craniotomy（P0.05）.The incidence of secondary pulmonary infection and stress ulcer in surgery group were significantly lower than those in non-surgical group，the hospitalization time of surgery group was significantly shorter than non-surgical group，the satisfaction of Barthel score in surgery group was 70.0%（35/50），it was significantly higher than 50.0%（25/50） of non-surgical group，the differences were statistically significant（P0.05）.Conclusion：In the treatment of the basal ganglia hemorrhage patients caused by hypertension，the s