血液透析并发脑出血患者的外科治疗方案

Surgical Treatment Plan for Hemodialysis Patients with Cerebral Hemorrhage

目的探讨不同外科治疗方案对血液透析并发脑出血患者的临床效果。方法将2015年2月至2016年12月本院30例血液透析并发脑出血患者随机分为观察组(微创钻孔血肿腔引流术)与对照组(开颅手术),每组各15例。比较两组治疗效果。结果治疗前两组患者BNP、CRP水平无统计学差异;治疗后观察组改善幅度大于对照组,差异有统计学意义(P<0.05)。观察组总有效率高于对照组,差异有统计学意义(P<0.05)。结论微创钻孔血肿腔引流术应用于血液透析并发脑出血患者,有利于降低BNP及CRP水平,疗效确切。

Objective This paper aims to explore the clinical effect of different surgical treatments on hemodialysis patients with cerebral hemorrhage.Methods From February 2015 to December 2016,30 hemodialysis patients with cerebral hemorrhage in our hospital were randomly divided into two groups,observation group(minimally invasive drainage of hematoma cavity)and control group(craniotomy),15 cases in each group.The treatment effect of the two groups were compared.Results The levels of BNP and CRP in the observation group were not different between the two groups before treatment.After treatment,the observation group was improved,which was statistically different from the control group(P<0.05).The total effective rate of the observation group was higher than that in the control group(P<0.05).Conclusion Minimally invasive drainage of hematoma cavity in hemodialysis patients with cerebral hemorrhage is beneficial to reduce the levels of BNP and CRP,and the curative effect is definite.