新型模式救治急性硬膜下血肿635例分析

Clinical Analysis of 635 Cases of Acute Subdural Hematomas Treated by a New Treatment Mode

目的探讨急性硬膜下血肿治疗的方法,评价新型救治模式的治疗效果。方法回顾性分析了采用新型救治模式治疗的急性硬膜下血肿患者635例,以采用传统治疗方法救治的568例急性硬膜下血肿患者为对照,通过统计分析治疗效果、开颅手术次数、住院时间,评价该新型治疗模式的有效性。结果新型模式组重型硬膜下血肿患者的平均住院天数较传统模式明显缩短(P<0.01),特重型硬膜下血肿患者的死亡率及重型硬膜下血肿患者的开颅手术率明显低于传统模式组(P<0.01)。结论急性硬膜下血肿新型救治模式可提高特重型急性硬膜下血肿的治疗效果,缩短重型硬膜下血肿患者的住院时间,值得推广。

Objective To explore a new treatment mode for acute subdural hematomas （ASHs） and its effects on ASHs. Methods Six hundred and thirty five patients with ASHs were treated by new treatment mode. Five hundred and sixty-eight patients with ASHs treated by traditional treatment mode served as control. The curative effect, the number of operation and the hospitalization days were compared between both the groups. Results The average hospitalization days in the patients with severe ASHs were significantly fewer in the new mode group than that in the control group （P〈0.01）. The mortality and rate of craniotomy in the patients with especially severe ASHs were significantly lower than that in the control group （P〈0.01）. Conclusions The new treatment mode can enhance curative effects on especially severe ASHs, shorten the hospitalization time in the patients with severe ASHs and is well worth spreading.