超早期小骨窗微创脑出血清除术治疗高血压脑出血效果分析

Analysis of the Effect of Ultra Early Minimally Invasive Surgery of Cerebral Hemorrhage with Small Bone Window Treatment of Hypertensive Intracerebral Hemorrhage

目的：研究分析超早期小骨窗微创脑出血清除术对高血压脑出血的临床疗效。方法：选取2012年7月-2015年7月来笔者所在医院治疗高血压脑出血的患者88例,将其分为超早期组（发病在6 h内）和早期组（发病在6-12 h）,各44例,两组患者均进行静脉麻醉并实施微创下血肿清除术,观察比较两组患者的再出血率及临床疗效。结果：超早期组患者的总有效率（95.45%）显著优于早期组（65.91%）,差异有统计学意义（P〈0.05）。超早期组患者的住院时间与手术时间均显著短于早期组,其并发症的发生率显著低于早期组,血肿清除率显著高于早期组,差异均有统计学意义（P〈0.05）。结论：超早期小骨窗微创下血肿清除术能够有效治疗高血压脑出血,且不良反应少,安全性高,值得临床广泛应用。

Objective：To analyze the clinical effect of removal of ultra early minimally invasive surgery of cerebral hemorrhage with small bone window treatment of hypertensive intracerebral hemorrhage.Method：88 cases in our hospital from July 2012 to July 2015 for treatment of hypertensive cerebral hemorrhage,they were divided into ultra early group（onset within 6 hours）and the early group（onset during the 6 to 12 hours）,44 cases in each group,two groups of patients were intravenous anesthesia and implementation of minimally invasive evacuation of hematoma,observation were compared between the two groups of patients with rebleeding rate and clinical efficacy.Result：The total effective rate（95.45%） of the ultra early group was significantly better than that of the early group（65.91%）,the difference was statistically significant（P〈0.05）.The hospitalization time and operation time of the ultra early group were significantly shorter than the early group,the incidence of the complications was significantly lower than that of the early group,hematoma clearance rate was significantly higher than that of the early group,the differences were statistically significant（P〈0.05）.Conclusion：Ultra early small bone window craniotomy evacuation of hematoma can be effective treatment of hypertensive cerebral hemorrhage,and less adverse reaction, high security,it is worth clinical application.