超早期手术与重症高血压脑出血疗效的相关性研究

Correlative research between ultra-early craniotomy and severe hypertensive cerebral hemorrhage

目的超早期手术治疗高血压脑出血的临床疗效。方法90例重症高血压脑出血患者,随机分为超早期手术组50例、延期手术组40例。比较两组的近期(1个月)和远期(6个月)疗效。结果超早期手术组的治愈率和死亡率分别为80%、12%,而延期手术组的治愈率和死亡率分别为60%、27.5%。两组相比差异有显著性(P<0.01)。远期随访结果示预后良好率分别为81%、58.6%,两组相比差异有显著性(P<0.01)。结论超早期手术治疗重症高血压脑出血较延期手术效果显著。

Objective： To study the clinical effect of ultra - early craniotomy on severe hypertensive cerebral hemorrhage, Methods： 90 caseswith severe hypertensive cerebral hemorrhage were divided into ultra - early surgery group consisting of 50 patients and delayed surgery group consisting of 40 patients randomly. Recent （1 month） and lute（6 mouths） follow - up results of the 2 groups were compared . Results：The cure rate of ultra- early group was 80% and that of de layed group was 60% ;the death rate of ultra- early group was 12% and that of delayed group was 27.5%, and the long -term follow-up indieating the good rate of prognosis was respectively 81% and 58.6%. There were significant differences between the 2 groups （ P 〈 0.01 ）. Conclusion： Ultra - early surgical treatment for severe hypertensive cerebral hemorrhage is more effective than the treatment of delayed surgery.