小骨窗开颅与常规骨瓣开颅治疗高血压脑出血效果探讨.docxVIP

小骨窗开颅与常规骨瓣开颅治疗高血压脑岀血效果探讨 王安帮 马小虎 杨少伟 高长庆 谢煜 董发达 (陕西省咸阳市第一人民医院神经外科陕西咸阳712000) 【摘要】目的：探讨分析小骨窗开颅与常规骨瓣开颅治疗高血压脑出血的 临床效果。方法：选择2014年1月到2015年1月期间在我院进行治疗的80例 高血压脑出血患者为研究对象，将其随机分为观察组和对照组，每组各40例患 者，对照组采用常规骨瓣开颅治疗，观察组采用小骨窗开颅治疗，对比2组治疗 效果。结果：观察组患者的恢复良好率为62.5%,显著高于对照组的40.0%,观 察组术后并发症、住院时间等指标均显著优于对照组，差异具有统计学意义(P 0.05)结论：采用小骨窗开颅治疗高血压脑出血的临床效果优于常规骨瓣开颅 治疗，且并发症发生率低于常规骨瓣开颅，值得临床推广。 【关键词】小骨窗开颅；常规骨瓣开颅；高血压脑出血；临床效果 【中图分类号】R544.1 【文献标识码】A 【文章编号】2095-1752 (2016) 15-0035-02 To investigate the therapeutic effect of small bone window craniotomy and routine craniotomy in hypertensive cerebral hemorrhage Wang Anbang, Ma Xiaohu,Yang Shaowei, Gao Changqing, Xie Yu, Dong Fada. The First Peoples Hospital of Xianyang City, Shaanxi Provinee, Xianyang 712000, China [Abstract】 Objective To study the analysis of small bone window eraniotomy with conventional bone flap eraniotomy in the treatment of hypertensive cerebral hemorrhage. Methods From January 2014 to January 2015 in our hospital during the period of treatment of 80 cases of hypertensive cerebral hemorrhage patients as the research object, which were randomly divided into observation group and control group, each group 40 cases, control group with normal bone flap eraniotomy treatment, observation group was treated by small bone window craniotomy, compared two groups therapeutic effect. Results Observation group of patients with good recovery rate was 62.5%, significantly higher than that of control group 40.0%, indicators such as observation group of postoperative complications, the len gth of time were sign ifica ntly better tha n the control group, the d iff ere nee is statistically sign讦icant （P lt; 0.05） .Conclusion The small bone window eraniotomy in the treatment of hypertensive cerebral hemorrhage is better than conventional bone flap craniotomy treatment, and the complication rate is lower than the normal bone flap craniotomy, worth clinical promotion. [Key words] Small bone window eraniotomy; Conventional bone flap eraniotomy; Hypertensive