微创术治疗高血压脑出血的临床疗效观察

Observation of the Effective of Minimally Invasive Operation in Treatment of Hypertensive Intracerebral Hemorrhage

目的:探讨微创手术治疗高血压脑出血的临床疗效,为临床医生手术提供依据。方法:选取本院2010年9月-2012年9月收治的高血压脑出血患者80例,随机分为治疗组和对照组,每组各40例。对照组行常规开颅手术治疗,治疗组行微创手术治疗,比较两组患者的临床效果和预后。结果:治疗组总有效率90%,对照组总有效率70%,治疗组患者的临床疗效显著优于对照组,差异有统计学意义(P<0.05)。治疗组患者预后良好27例,预后不良13例,预后良好率67.5%;对照组患者预后良好19例,预后不良21例,预后良好率47.5%。治疗组患者预后显著优于对照组,差异有统计学意义(P<0.05)。结论:微创手术临床疗效显著,预后好,值得临床推广。

Objective： To observe the effective of minimally invasive operation in treatment of hypertensive intracerebral hemorrhage.Method： Eighty cases of hypertensive intracerebral hemorrhage from September 2011 to September 2012 in our hospital were randomly divided into the control group and the treatment group, 40 cases in each group.The control group was treated with conventional craniotomy, the treatment group was treated with minimally invasive operation.The clinical effect and prognosis of the two groups were compared.Result： The effective rate of treatment group was 90% ; while that in control group was 70%, the clinical curative effect of the treatment group was superior to that in control group, the difference was statistically significant （ P〈0.05 ） .The treatment group with good prognosis had 27 cases, poor prognosis had 13 cases, good prognosis rate was 67.5%; the control group with good prognosis had 19 cases, poor prognosis had 21 cases, good prognosis rate was.The prognosis of patients with the treatment group significantly better than control group, the difference was statistically significant （ P〈0.05 ） .Conclusion： The clinical effect of minimally invasive operation in treatment of hypertensive intracerebral hemorrhage is satisfied.It can improve the quality of life, worth clinical promotion.