不同手术时机治疗高血压脑出血与术后再出血相关性研究

Correlation Study of Rebleeding with Different Timing of Surgery in Hypertensive Intracerebral Hemorrhage

目的:探讨不同手术时机治疗高血压脑出血与术后再出血相关性。方法:240例手术治疗的高血压脑出血(HICH)患者根据手术时间分为超早期组(≤6h),早期组(6-24h)及晚期组(≥24h),比较不同组别患者近期疗效及再出血发生率。结果:240例患者发生术后再出血30例,发生率为12.5%,其中超早期组为20.83%,早期组为11.20%,晚期组为3.84%,再出血发生率超早期组明显高于早期组与晚期组(P<0.05),早期组与晚期组无明显差异(P>0.05);格拉斯哥预后评分(GOS)方面三组间优良率及死亡率两两比较未见明显差异(P>0.05)。结论:超早期手术治疗与术后再出血有关,对于符合条件的HICH患者,早期手术是较为安全且有效的手术时机。

Objective：To investigate the correlation of rebleeding with different timing of surgery in hypertensive intracerebral hemorrhage .Method： 240 patients with HICH were divided into the ultra -early group （≤6h）, early group （6-24h） and late group （≥24h） according to the operation time ,the efficacy and incidence of rebleeding were compared .Result： There were 30 cases with rebleeding （ 12.5 %） , and the rate in the ultra-early group was 20.83 %,and in early group was 11.20%and in the late group was 3. 84%, and that in ultra-early group was significantly higher than those in two groups （P〈0.05）, there were no significant difference in the early and late group （ P〉0.05）; there were no significant difference of the excellent rate and mortality in the three groups （ P〉0.05） .Conclusion：The ultra-early surgery has a correlation with the postoperative rebleeding ,and the early surgery for qualified patients is a relatively safe and effective timing .