不同时机小骨窗微创血肿清除术治疗高血压脑出血的临床研究

Clinical Study of Small Bone Window Mini-invasive Evacuation of Hematoma at Different Timepoints in Hypertensive Cerebral Hemorrhage

目的探讨不同手术时机小骨窗微创血肿清除术对高血压脑出血的临床效果影响。方法选择符合标准的患者80例,随机分为观察组和对照组各40例,两组患者均采用小骨窗微创血肿清除术治疗,观察组在发病6h内进行手术,对照组在发病6h以后手术,比较临床治疗效果。结果观察组患者近期及远期临床疗效均优于对照组,差异有统计学意义(P<0.05)。结论早期小骨窗血肿清除术能够有效减轻血肿对周围脑组织的压迫,促进高血压脑出血患者神经功能恢复,提高生活质量。

Objective To investigate the clinical effect of small bone window mini-invasive evacuation of hematoma at different time points on hypertensive cerebral hemorrhage. Methods Eighty patients who met the inclusion criteria were randomized into observation group（n=40） and control group（n=40）. Small bone window miniinvasive evacuation of hematoma was performed in both groups. The observation group and the control group were performed within 6h of the onset and 6h after onset, respectively, and clinical effects were compared. Results The observation group showed better short- and long-term effects than the control group, with a statistically signifi cant difference（P〈0.05）. Conclusion Early small bone window evacuation of hematoma can effectively alleviate the compression of surrounding brain tissues from the hematomas, and help promote the recovery of nerve function and quality of life for patients with hypertensive cerebral hemorrhage.