基层医院高血压脑出血63例微创治疗体会

Minimally invasive treatment experience of 63 patients with hypertensive intracerebral hemorrhage in primary hospital

目的探讨基层医院治疗高血压脑出血的方法和效果。方法医院急诊收治并采用微创颅内血肿清除术治疗的高血压脑出血患者63例,作为观察组,同时回顾2007年以前采用开颅手术治疗的63例患者的临床资料作为对照组。结果观察组患者的总有效率与对照组患者相比,差异无统计学意义(P>0.05)。观察组患者的神经功能缺损程度的改善情况明显优于对照组(P<0.05)。结论微创颅内血肿清除术治疗高血压脑出血与开颅手术具有同样的良好治疗效果,同时具有操作简单、创作小、恢复快等特点,适合在基层医院使用。

Objective To study the treatment method and effect of hypertensive cerebral hemorrhage patients treated in primary hospitals.Methods 63 cases of patients with hypertensive cerebral hemorrhage who were treated with minimally invasive intracranial hematoma clear operation in emergency of our hospital were selected as observation group,and the data of 63 patients who were treated with craniotomy before 2007 were selected as control group.Results The total efficiency of observation group compared with control group,the difference was not statistically significant（P0.05）.Neurologic function defect degree of observation group improved significantly better than the control group（P0.05）.Conclusion The effect of minimally invasive and craniotomy treatment is equally good,and the minimally invasive treatment has some advantage such as simple operation,less creation and fast recovery,et.So it is suitable for application in primary hospitals