微创颅内血肿清除术治疗高血压脑出血的临床效果

郭晓冬，刘航博*

（富平县医院神经内科，陕西 渭南，711700）

浏览次数：55次 下载次数：276次

摘要：

目的 研究微创颅内血肿清除术治疗高血压脑出血的临床效果。方法 对我院收治的92 例高血压脑出血患者的临床资 料进行回顾性分析，按照治疗方法将患者分为研究组和对照组，各46 例。对照组给予开颅血肿清除术治疗，研究组给予微创 颅内血肿清除术治疗。比较两组患者的临床效果。结果 治疗后，两组患者的神经功能缺损评分均明显低于治疗前，且研究组 低于对照组（P<0.05）；研究组治疗总有效率为95.65%，明显高于对照组的73.91%（P<0.05）；研究组的手术时间及术中出血 量明显优于对照组，差异具有统计学意义（P<0.05）。结论 微创颅内血肿清除术治疗高血压脑出血临床效果显著，可改善神 经功能缺损，缩短手术时间，降低术中出血量，值得临床推广运用。

关键词：高血压脑出血；微创颅内血肿清除术；神经功能

中图分类号：R651.12文献标志码：A文章编号：2096-1413(2018)06-0066-02

Clinical effect of mimimally invasive surgery of intracranial hematoma on hypertensive cerebral hemorrhage
GUO Xiao-dong, LIU Hang-bo *
(Neurology Department, the Hospital of Fuping County, Weinan 711700, China)

ABSTRACT: Objective To study the clinical effect of mimimally invasive surgery of intracranial hematoma on hypertensive cerebral hemorrhage. Methods The clinical data of 92 cases of patients with hypertensive cerebral hemorrhage were retrospectively analyzed. All the patients were divided into study group and control group according to treatment methods, with 46 cases in each group. The control group was treated with craniotomy of intracranial hematoma, and the study group was given mimimally invasive surgery of intracranial hematoma. The clinical effects of the two groups were compared. Results After treatment, the neurological deficit scores of the two groups were lower than those before treatment, and the neurological deficit score of the study group was lower than that of the control group (P<0.05). The total effective rate of the study group was 95.65%, which was higher than 73.91% of the control group (P<0.05). The operation time and intraoperative blood loss of the study group were better than those of the control group, the differences were statistically significant (P<0.05). Conclusion Mimimally invasive surgery of intracranial hematoma in the treatment of hypertensive cerebral hemorrhage has significant clinical effect. It can improve the defect of nerve function, shorten the operation time and reduce intraoperative blood loss, which is worth popularizing and applying in clinic.
KEYWORDS: hypertensive cerebral hemorrhage; mimimally invasive surgery of intracranial hematoma; nerve function

参考文献：
[1] 陈锐锋,黄勇.微创颅内血肿清除术治疗高血压脑出血的临床效果分析[J].实用心脑肺血管病杂志,2014,22(11):123-124.
[2] 徐安博.微创颅内血肿清除术治疗高血压脑出血临床效果探讨[J].心血管病防治知识:学术版,2014,13(11):18-20.
[3] 李志峰.高血压脑出血患者经微创颅内血肿清除术治疗的临床效果观察[J].临床医药文献电子杂志,2016,13(47):9281,9283.
[4] 李锋.微创颅内血肿清除术治疗高血压脑出血的临床效果分析[J].当代医学,2017,25(11):70-72.
[5] 曾清洲,陈晖,李文斌.微创颅内血肿清除术治疗老年高血压脑出血的临床分析[J].数理医药学杂志,2016,29(7):966-967.
[6] 昝向阳,向兴刚,于晓晨,等.微创颅内血肿清除术治疗高血压脑出血的临床效果观察[J].实用心脑肺血管病杂志,2016,34(11):140-142.
[7] 张玉敏,丁玲云.微创颅内血肿清除术治疗高血压脑出血的临床效果观察[J].中外医学研究,2017,15(4):27-28.
[8] 丘琪政,刘文浩,黄进兴,等.微创颅内血肿清除术治疗高血压脑出血患者的临床疗效[J].中国药物经济学,2017,12(3):104-107.
[9] 邱忠海.微创颅内血肿清除术治疗高血压脑出血的临床效果[J].临床医学,2014,33(9):72-73.