手术治疗高血压脑出血80例临床观察

Surgical treatment of hypertensive intracerebral hemorrhage in 80 cases

目的探讨高血压脑出血手术疗效及相关因素。方法回顾性分析80例高血压脑出血患者手术治疗的临床资料，分析不同手术时机的治疗效果。结果〈7h手术、7—24h手术病例术前、术后2周GCS评分差异均有统计学意义（F=78．16、20．23，均P〈0．01），同时对患者进行术后随访，疗效满意。结论早期手术解除脑部受压是治疗的关键，是提高生存质量的重要手段。应当根据不同病情选择适当的手术时机。

Objective To discuss the clinical effect of surgical treatment for hypertensive intracerebral hemorrhage （ HICH）, and investigate the relative factors of improving the curative effect and prognosis. Methods Eighty cases of hypertensive intracranial hemorrhage were retrospectively analyzed for finding the relationship among the sur- gical opportunity and post-surgical rehabilitation. Results There was significant difference between preoperation and posto peration in GCS scores（ F = 78.16,20.23 ,P 〈 0.01 ）. The cases were followed up for 3 months and therapeutic effect was satisfying. Conclusion Early operation and decrease of intracerebral pressure was the key factor in the operation. The operation and timely recovering treatment are important for the living quality later. Based on the patients＇ condition, different surgical timing should be chosen.