两种不同方法治疗高血压脑出血疗效比较

Two Different Treatment of Hypertensive Cerebral Hemorrhage Curative Effect

目的探讨不同方法在老年人高血压脑出血的治疗效果。方法回顾性分析高血压脑出血病人80例,随机分为两组,分别采用微创血肿碎吸术和小骨窗开颅血肿清除术,术后并发症,死亡率和术后ADL分级进行比较,所获数据采用x2检验。结果两组血肿清除率与再出血率比较,P>0.05,无显著性差异。两组术后并发症比较,P>0.05,无显著性差异。两组术后功能恢复比较,P>0.05,无显著性差异。结论微创血肿碎吸术具有手术时间短,创伤小,操作简单,效果确切,能明显降低患者医疗费用等特点,特别适合在基层医院开展。

Objective To explore the curative effect of different methods on hypertensive intracerebral hemorrhage in the elderly patients. Methods We analyse retrospectively hypertensive intracerebral hemorrhage patients, respectively 40 cases with minimally invasive hematoma aspiration biopsy and removal of small bone window craniotomy hematoma, by comparing the hematoma clearance rate, postoperative complications, mortality and postoperative ADL grading, we can evaluate the curative effect of two methods objectively. Results Through compring the two methods, small bone window craniotomy surgery for removal of hematoma and minimally invasive hematoma aspiration biopsy, has the same therapeutic effect, for larger hematoma, surgical indications, and did not happen cerebral hernia, in the treatment of hypertensive cerebral hemorrhage, but it is worthy of appling widely in aspect of comparing the two surgical trauma to the patients and saving medical resources. Conclusion Minimally invasive hematoma aspiration biopsy is a kind of safe and effective treatment, which especially suits for the basic-level hospitals, it can effectively save the patients＇life, because of shorter operation time, small surgical injury, simple operation, also obvious curative effect and low cost etc.