微创颅内血肿清除术治疗高血压脑出血疗效观察

《微创颅内血肿清除术治疗高血压脑出血疗效观察》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、微创颅内血肿清除术治疗高血压脑出血疗效观察［摘要］目的观察微创颅内血肿清除术治疗高血压脑出血(HICH)的临床效果，探讨最佳的临床术式。方法选择已确诊的HICH患者48例，并随机分为观察组和对照组，每组各24例，其中观察组采用微创颅内血肿清除术治疗，对照组采用内科保守治疗，观察并比较两组患者术后的临床效果。结果观察组的总有效率为79.2%，明显高于对照组的54.2%,两组比较差异有统计学意义(P<0.05)；观察组重残发生率为20.0%,明显低于对照组的30.8%,两组比较差异有统计学意义(P<0.05)o结论微创颅内血肿清

2、除术能快速清除血肿，降低颅内压、病死率及致残率，减轻脑水肿，近期疗效确切，促进患者意识恢复，是治疗HICH的最佳方法。［关键词］高血压脑出血；微创颅内血肿清除术；临床疗效［中图分类号］R651.11［文献标识码］A［文章编号］1673-7210(2012)07(c)-0041-03TheobservationofthecurativeeffectonminilogicevacuationofintracranialhematomatreatmentforhypertensiveintracerebralhemorrhageY

3、UYuxingLUOBiaoCHENWeishiDepartmentofNeurosuTgerySursery,thePeople7sHospitalofTaishanCity,GuangdongProvince,Taishan529200,China[Abstroct]ObjectiveToobservetheclinicaleffectontheminilogicevacuationofintracranialhematomatreatmentforhypertensiveintracerebralhemorrhage,

4、todiscussthebestmodusoperandiintheclinicaLMethods48patientswithhypertensiveintracerebralhemorrhage,whowerediagnosed,werechosenandrandomlydividedintoobservationgroupandcontrolgroup,eachgrouphad24cases,theobservationgroupwastreatedbytheminilogicevacuationofintracrani

5、alhematoma,andthecontrolgroupwastreatedbytheexpectanttreatment,thecurativeeffectsoftwogroupsaftersurgerywereobserved.ResultsThetotaleffectiverateoftheobservationgroupwas79.2%,whichwashigherthanthecontrolgroupfor54.2%,therewasdifferentstatisticalsignificancebetweent

6、wogroups(P<0.05)・Theincidencerateofgiantmaimerintheobservationgroupwas20.0%,whichwaslowerthanthecontrolgroupfor30.8%,therewasdifferentstatisticalsignificancebetweentwogroups(P<0.05).ConclusionTheminilogicevacuationofintracranialhematomacancleanupthehaematoma,reduce

7、theintracranialpressurecasefatalityrateandcripplingrate,andabatethehydrocephalus,reliablecurativeeffectintherecentperiod,andcanacceleratethepatient'sconsciousness,itisabestwaytotreattheHICH.［Keywords］Hypertensiveintracerebralhemorrhage；Minilogicevacuationofintracra

8、nialhematoma；Curativeeffect高血压脑出血(hypertensiveintracerebralhemorrhage,HICH)是急性脑血管病中致残率及死亡率最高的一种自发性脑出血［1］,是高血压伴脑小动脉瘤、血压骤升使动脉破裂所致［2］。HICH患者在出血后24h之