锥颅血肿引流术治疗高血压脑出血的疗效分析

赵金龙

（渭南市澄城县医院，陕西 渭南，715200）

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摘要：

目的 观察锥颅血肿引流术治疗高血压脑出血的临床效果。方法 将我院收治的72 例高血压脑出血患者采用随机数字 表法分为对照组（n=36）和观察组（n=36），分别采用小骨窗开颅血肿清除术与锥颅血肿引流术治疗。比较两组患者的手术情 况，血清NSE、hs-CRP、IL-6 水平及患者预后。结果 观察组手术时间、住院时间、术中出血量、下床活动时间优于对照组（P<0.05）。观察组治疗后1 个月恢复良好比例显著高于对照组（P<0.05）。两组治疗后血清NSE、hs-CRP、IL-6 水平均显著低于治 疗前，且观察组低于对照组（P<0.05）。结论 采用锥颅血肿引流术治疗高血压脑出血临床效果显著，可有效减少患者术中出 血量，缩短住院时间，炎症反应显著减轻，值得临床推广应用。

关键词：锥颅血肿引流；小骨窗开颅血肿清除术；高血压脑出血

中图分类号：R651.12文献标志码：A文章编号：2096-1413(2018)05-0066-02

Clinical effect of conical hematoma drainage in the treatment of hypertensive cerebral hemorrhage
ZHAO Jin-long
(the Hospital of Chengcheng County, Weinan 715200, China)

ABSTRACT: Objective To observe the clinical effect of conical hematoma drainage in the treatment of hypertensive cerebral hemorrhage. Methods A total of 72 cases of hypertensive intracerebral hemorrhage treated in our hospital were divided into control group (n=36) and observation group (n=36) by random number table methods, respectively using keyhole approach hematoma and drainage of conical hematoma drainage. The operation situation, serum NSE, hs-CRP, IL-6 levels and prognosis were compared between the two groups. Results The operation time, hospitalization time, intraoperative blood loss and ambulation time in the observation group were better than those in the control group (P<0.05). The recovery rate of the observation group at 1 month after treatment was significantly higher than that of the control group (P<0.05). The levels of serum NSE, hs-CRP and IL-6 in the two groups after treatment were significantly lower than those before treatment, and those of the observation group were lower than the control group (P<0.05). Conclusion Conical hematoma drainage has obvious effect in the treatment of hypertensive cerebral hemorrhage, which can effectively reduce intraoperative blood loss, shorten the hospitalization time, significantly reduce inflammatory response, which is worthy of clinical application.

KEYWORDS: conical hematoma drainage; keyhole approach hematoma; hypertensive cerebral hemorrhage

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