颅内血肿微创清除术联合亚低温治疗高血压脑出血观察

Observation of minimally invasive removal of intracranial hematoma combined with mild hypothcrmia for hypertensive intracerebral hemorrhage

目的:探讨颅内血肿微创清除术联合亚低温治疗高血压脑出血的效果。方法:根据随机数字表法将40例高血压脑出血患者分为治疗组20例与对照组20例,对照组给予颅内血肿微创清除术,治疗组在颅内血肿微创清除术后立即给予亚低温治疗。结果:两组治疗前CSS评分对比差异无统计学意义,治疗后组间对比差异有统计学意义,治疗组评分明显少于对照组(P<0.05)。两组治疗后肺部感染、消化道出血与肾功能障碍等并发症发生率对比差异无统计学意义(P>0.05)。结论:颅内血肿微创清除术联合亚低温治疗高血压脑出血有很好的预后,但是要积极预防并发症。

Objective To discuss the effects of minimally invasive removal of intracranial hematoma combined with mild hypothermia for hypertensive intraeerebral hemorrhage. Methods 40 patients of hypertensive intraeerebral hemorrhage were divided into treatment group （20 patients） and control group（20 patients） randomly. The patients in control group were treated t^y minimally invasive removal of in- traeranial hematoma. The patients in treatment group were treated by mild hypothcrrnia after minimally invasive removal of intracranial he- matoma. Results The CSS of two groups was no signifieant difference before treatment. The difference between two groups was significantly after treatment. The CSS ira treatment was obviously lower than that in control group＇s（ P 〈 0. 05 ）. The incidence of complication like pulmo- nary infection, gastrointestinal bleeding and renal dysfunction in two groups was no signifieant difference （ P 〉 0. 05 ）. Conclusion Tile pa- tient of hypertensive intracerebral hemorrhage treated by minimally invasive removal of intraeranial hematoma combined with mild hypoth- errnia for have a good effect. But it needs to prevent the complication.