高血压脑出血颅内血肿微创清除术手术时机选择分析

Timing selection analysis of hypertensive intracerebral hematoma minimally invasive surgery

目的研究应用颅内血肿微创清除术对高血压脑出血患者进行手术所选择的不同治疗时间的疗效,以探讨较佳的手术时机。方法将收集到的80例高血压脑出血患者,按照发病至治疗的时间分为A组(8～24 h)和B组(超过24 h),判断疗效的指标为死亡率、3个月后日常生活活动能力及3个月神经功能缺损和恢复情况。结果两组患者在入选时具有很好的可比性(P>0.05)。随访期间A组和B组的死亡率分别为12.5%和12.3%,差异无统计学意义(P>0.05);3个月后日常生活活动能力A组为83.3%,B组为61.1%;3个月神经功能缺损和恢复情况经过比较差异有统计学意义(P<0.05)。结论发病后的第8～24 h为颅内血肿微创清除术手术的较佳时机。

Objective To research and apply the minimally invasive removal of intracranial hematoma for hypertensive intracerebral hemorrhage patients, to compare the efficacy of different treatment time and find a better timing of surgery. Methods A total of 80 hypertensive cerebral hemorrhage were collected and divided into Group A （8-24 h） and Group B（more than 24 h） in accordance with the time from onset to treatment,indicators to judge the efficacy were mor- tality, after 3 months activities of daily living and 3 months neurological deficit and recovery situations. Results The patients were comparability when they were enrolled （P 〉 0.05）. Mortality during follow-up of Group A and Group B were 12.5% and 12.3%, the difference has no statistically significant;after the three months the daily living activities of A group was 83.3%, the B group was 61.1%. the differences of three months neurological deficit and recovery had statistically significant （P 〈 0.05）, the dropout rate was 6.1%. Conclusion The results show that after the onset of the first 8-24 h is better opportunity for minimally invasive removal of intracranial hematoma surgery.