高血压脑出血手术时机及手术方式的选择

Selections of Operation Opportunity and Operation Method of Hypertensive Cerebral Hemorrhage

目的探讨不同手术时机、手术方式对高血压脑出血的手术效果的影响。方法随机选取2012年1月—2015年1月于该院收治的50例高血压脑出血患者作为研究对象,均在出血后24 h内进行手术,设置为观察组;另选取同时段出血后24 h外进行手术治疗的50例高血压脑出血患者进行研究,设置为对照组。按照手术方式进行分组,分为采取微创穿刺引流术的A组和采取小骨窗开颅手术的B组。对比术后GCS昏迷指数。结果观察组的GCS昏迷指数为(14.57±1.32)分,明显优于对照组(11.09±1.23)分,差异有统计学意义(P<0.05);A组、B组的术后GCS昏迷指数差异无统计学意义(P>0.05)。结论高血压脑出血的最佳手术时机为出血后24 h内,手术方式应根据具体情况进行选择。

Objective To discuss the effect of different operation opportunities and operation methods on the operation effect of hypertensive cerebral hemorrhage. Methods 50 cases of patients with hypertensive cerebral hemorrhage treated in our hospital from January 2012 to January 2015 were selected as the observation group and given operation within 24 h after hemorrhage, 50 cases of patients with hypertensive cerebral hemorrhage treated in our hospital at the same period were selected as the control group after 24 h after hemorrhage, the patients were divided into the group A receiving minimally invasive puncture and drainage and the group B receiving small bone window craniotomy according to the operation method, the GCS coma index after operation of the two groups was compared. Results The GCS coma index in the observation group was obviously better than that in the control group（14.57±1.32）marks vs（11.09±1.23）marks, the difference was statistically significant（P0.05）; there was no difference in the GCS coma index after operation between the group A and the group B,（P0.05）. Conclusion The best operation opportunity of hypertensive cerebral hemorrhage is within 24 h after hemorrhage,we should select the opportunity method according to the specific conditions.