个性化手术方法治疗高血压脑出血患者的疗效及术后生活质量的观察

The observation on the efficacy and the postoperative quality of life after indivisual surgical methods in the treatment of hypertensive intracerebral hemorrhage

目的研究根据患者出血情况进行不同手术方法的个性化治疗策略对高血压脑出血患者的治疗效果及其术后生活质量的影响。方法将六枝特区人民医院2010年7月至2012年8月间收治的106例高血压脑出血患者分为治疗组和对照组各53例,其中治疗组根据患者出血位置、出血量、一般情况等选择手术方式,对照组使用单一的小骨窗血肿清除术,比较两组患者治疗效果及术后生活能力恢复情况。结果治疗组患者住院时间显著短于对照组,血肿残留量治疗组显著低于对照组,治疗组格拉斯哥昏迷(GCS)评分显著高于对照组(P<0.05)。治疗组痊愈率及总有效率均显著高于对照组(P<0.05),术后并发症发生率显著低于对照组(P<0.05)。3个月时日常生活能力(ADL)评分显示治疗组不能自理人数显著低于对照组(P<0.05),完全自理人数显著高于对照组(P<0.05)。结论个性化手术方法治疗高血压脑出血能改善治疗效果,促进脑功能恢复,提高术后患者生存质量,比传统单一手术方式更合理。

Objective To compare the therapy effectiveness and life quality of different surgery strategy on hypertensive cerebral hemorrhage.Methods 106 patients of hypertensive cerebral hemorrhage during 2010 to 2012 were randomly divided into therapy group and control group.The therapy group was treated with surgery according to location and volume of hematoma while the control group was treated with little bone window hematoma remove surgery.The outcomes of both groups were observed.Results The therapy group had shorter hospital time,lower hematoma residual volume and higher GCS score than control group（P〈0.05）. The therapy group had significantly higher cured rate and effective rate and significantly lower complication rate than control group（P〈0.05）.After 3 months,ADL score showed patients who recovered self-care ability in therapy group were more than control group（P〈0.05）.Conclusion Individual surgical methods in treatment of hypertensive cerebral hemorrhage can improve therapy effectiveness and cerebral function recovery,and elevate the life quality.