高血压脑出血患者不同手术时机与术后再出血的关系

Study of the Relationship Between the Surgery Timing and Postoperative Recurrent Hemorrhage in Patients with Hypertensive Intracerebral Hemorrhage

目的探讨不同手术时机治疗高血压脑出血与术后再出血的关系。方法选取2009年6月至2014年6月深圳市松岗人民医院神经外科手术治疗的高血压脑出血患者190例为研究对象,根据不同手术时机将患者分为3组：超早期组58例,发病至手术时间≤6 h;早期组82例,发病至手术时间6-24 h;晚期组40例,发病至手术时间≥24 h。比较3组患者术后再出血的发生率及近期疗效。结果早期组术后再出血的发生率为7.3%,较晚期组的5.0%,差异无统计学意义（P〉0.05）;超早期组术后再出血的发生率为20.7%,明显高于早期组与晚期组,差异有统计学意义（P〈0.05）;3组间优良率及死亡率比较,差异均无统计学意义（均P〉0.05）。结论脑出血后6-24 h是手术治疗高血压脑出血较为理想的手术时机。

Objective To study the relationship between the different surgery timing and postoperative recurrent hemorrhage in patients with hypertensive intracerebral hemorrhage.Methods Select from June 2009 to June 2014 hypertensive cerebral hemorrhage Shenzhen Songgang People＇s Hospital of surgery for the study of 190 cases, depending on the timing of surgery patients were divided into three groups：the ultra-early group 58 cases,onset to operation time ≤6 h;82 cases of early group,onset to operation 6-24 h;40 patients late onset to surgery ≥24 h.Comparison of the three groups of patients and short-term effect of postoperative incidence of rebleeding.Results There were of no statistically significant difference in postoperative recurrent hemorrhage rate in early group（7.3%） and late group（5.0%）（P 〉0.05）,the postoperative rebleeding rate in ultra-early group was 20.7%,and it was significantly higher than that of the early group and the late group, the difference was of statistically significant（P 〈0.05）; There of no significant difference in the three groups in excellent and mortality rate（P 〉0.05）.Conclusion The time of early time（6-24h） is right surgery timing in hypertensive intracerebral hemorrhage.