脑出血的手术和超早期止血治疗研究

Study on Cerebral Hemorrhage Operation and Ultra Early Hemostatic Therapy

目的评价脑出血超早期止血治疗手术疗效。方法采用大骨瓣开颅手术治疗38例纳入A组、采用小骨窗开颅手术治疗54例纳入B组、采用血肿穿刺抽吸术52例纳入C组,对比30日内死亡例,术后30日GOS评分、卒中量表(SSS)评分、Barthel日常生活能力(ADL)评分。结果 A组死亡5例、B组死亡7例、C组死亡8例,差异无统计学意义(P>0.05);B组、C组SSS评分高于A组,C组ADL评分高于A组、B组,差异具有统计学意义(P<0.05)。结论血肿穿刺抽吸术有助于减轻神经功能损伤,增强存活患者生活能力。

Objective To evaluate curative effect of ultra early hemostatic therapy for intracerebral hemorrhage surgery.Methods The big bone flap craniotomy treatment of 38 cases were included in group A,the small bone window craniotomy treatment of 54 cases were included in group B,52 cases into group C and contrast within 30 days of death cases,postoperative 30.Glasgow Outcome Scale（GOS）,stroke volume table scale score（SSS）,barthel activities of daily living（ADL） score with hematoma aspiration.Results In group A died 5 cases died in the 7 cases in group B and group C death in 8 cases,the difference was not statistically significant（P〉0.05）.B group and C group SSS score is higher than that of group A,C group ADL score is higher than that of group A and group B,the difference is statistically significant（P〈0.05）.Conclusion Hematoma aspiration can help alleviate neurological damage,enhance the survival ability of life.