小骨窗血肿清除术结合β-七叶皂苷钠治疗高血压脑出血55例

Clinical Efficacy of Small Bone-Window Craniotomy Combined with β-Sodium Aescine in Treating Hypertensive Cerebral Hemorrhage in 55 Cases

目的探讨小骨窗血肿清除术结合β-七叶皂苷钠治疗高血压脑出血的有效性。方法回顾分析2010年3月至2013年10月高血压脑出血108例患者的临床资料,其中对照组53例行小骨窗血肿清除术治疗,治疗组55例行小骨窗血肿清除术结合β-七叶皂苷钠治疗,比较两组疗效。结果对照组和治疗组疗效有效率分别是86.79%和90.91%,治疗组疗效优于对照组(P<0.05);对照组和治疗组并发症发生率分别是9.43%和9.09%,差异无统计学意义(P>0.05)。结论小骨窗血肿清除术结合β-七叶皂苷钠治疗高血压脑出血疗效良好,值得临床推广。

Objective To study the effectiveness of small bone-window craniotomy combined with β- sodium aescine in treating hypertensive cerebral hemorrhage. Methods The clinical data of 108 patients with hypertensive cerebral hemorrhage from March 2010 to October 2013 were retrospectively analyzed. Among them,53 cases in the control group were treated by small bonewindow craniotomy and 55 cases in the treatment group were treated by small bone- window craniotomy combined with β- sodium aescine. The clinical effects were compared between the two groups. Results The effective rates in the control group and the treatment group were 86.79% and 90.91% respectively,the treatment group was higher than the control group with statistical difference（ P 〈 0.05）.The occurrence rates of complications in the control group and the treatment group were 9.43% and 9.09% respectively,without statistical difference between the two group （P 〉 0. 05）. Conclusion The combination of small bone- window craniotomy and β- sodium aescine has better effect in treating hypertensive cerebral hemorrhage,which is worthy of clinical promotion.