基底节内侧型高血压脑出血患者的手术时机研究

Study on the operation timing of patients with medial hypertensive cerebral hemorrhage in basal ganglia

目的研究基底节内侧型高血压脑出血患者的手术时机。方法回顾性分析2012-01—2014-03在我院进行手术治疗的42例基底节内侧型高血压脑出血患者的临床资料,然后将病人分为A、B、C3组,A组手术时机为<7h,B组为7h<T<24h,C组为>24h,研究不同手术时机对患者治疗效果的影响。结果 3组脑血肿量、GCS评分相比,差异无统计学意义(P>0.05);3组神经功能缺损、ADL评分相比,差异有统计学意义(P<0.05);3组的病死率、总有效率与术后并发症发生率相比,差异有统计学意义(P<0.05)。结论出血后7h内是基底节内侧型高血压脑出血患者手术治疗的最佳时机,早期手术治疗可显著改善患者的神经功能,降低病死率与术后并发症的发生率,提高日常生活能力。

Objective To investigate the operation timing of patients with medial hypertensive cerebral hemorrhage in basal ganglia.Methods The clinical data of 42 patients with medial hypertensive cerebral hemorrhage in basal ganglia from January2012 to March 2014 were retrospectively analyzed.Patients were divided into A group（T≤7h）,B group（7hT≤24h）and C group（T〉24h）according to the operation timing.The curative effects of three groups were compared.Results The cerebral hematoma volume and GCS score of three groups had no significant difference;there were significant difference in the neurologic impairment,ADL score,fatality rate,total efficiency and postoperative complications incidence of three groups.Conclusion Time within 7hafter bleeding is the best time for surgical treatment of patients with medial hypertensive cerebral hemorrhage in basal ganglia.The early operation therapy can improve the neurological function,reduce the fatality rate and postoperative complications incidence and increase the daily life ability.