微创颅骨内血肿抽吸术治疗高血压脑出血的临床分析.docVIP

微创颅骨内血肿抽吸术治疗高血压脑岀血的临床分析 刘光炉刘西曾福兵 （四川省彭州市中医院四川彭州611900） 摘 要 目的分析微创颅骨内血肿抽吸术治疗高血压脑出血的临床疗效。 方法将我院收治的70例高血压脑出血患者随机分为观察组35例和对照组35 例。对照组患者行小骨窗开颅血肿清除术治疗，观察组患者行微创颅骨内血肿抽 吸术治疗。根据术后颅脑CT复查结果，评价患者的血肿清除效果；采用美国国 立卫生研究院卒中量表（NIHSS）评价患者的神经功能缺损恢复情况，采用格拉 斯哥预后评分（GOS）评价患者的预后情况；并统计2组患者术后相关并发症的 发生率。结果术后Id、3d,对照组患者的平均血肿量均低于观察组（PV0.05）； 但术后7d, 2组患者的平均血肿量比较，P0.05o观察组患者神经功能缺损恢 复的总有效率为85.71%,对照组为82.86%, 2组比较，P0.05；观察组患者GOS 预后评分恢复良好率为71.43%,对照组为65.71%, 2组比较，P0.05。观察组 患者术后颅内再出血、颅内感染、肺部感染、消化道出血并发症的总发生率为 11.43%,对照组为34.28%, PV0.05。结论:微创颅骨内血肿抽吸术与小骨窗开 颅血肿清除术治疗高血压脑出血的近远期疗效相当，当微创颅骨内血肿抽吸术术 后并发症的发生率较低，更值得临床推广应用。 关键词 高血压脑出血；微创颅骨内血肿抽吸术；小骨窗开颅血肿清除术 R722.15+1 B 1003-5028 （2015） 7-0145-02 Analysis of minimally invasive hematoma suction within the skull clinical curative effect for the treatment of hypertensive cerebral hemorrhage Abstract Objective: to analyze minimally invasive hematoma suction within the skull clinical curative effect for the treatment of hypertensive cerebral hemorrhage. Methods: our hospitalrsquo;s 70 cases of hypertensive cerebral hemorrhage patients were randomly divided into the observation group (35 cases) and the control group (35 cases).The control group patients were treated by small bone window craniotomy hematoma removal, the observation group of patients was treated by minimally invasive hematoma suction within the skull. According to the results of postoperative cerebral CT review, patients with hematoma removal effect were evaluated; the patientsrsquo; neurologic deficits recovery effect were con sidered by the national institutes of health stroke scale (NIHSS), The prog nosis of patients with conditions were evaluated by Glasgow outcome scale (GOS),two groups of patients the incidenee of postoperative complications related were counted? Results: postoperative 1 d, 3 d, the control group the average amount of hematoma of patients was lower than the observation group (P lt; 0.05); But after 7 d, group 2 patients had hematoma volume was on average, P gt; 0.05). Observat