立体定向颅内血肿抽吸术治疗高血压性脑出血患者的疗效分析

Clinical analysis of stereotactic intracranial hematoma aspiration in the treatment of hypertensive ~ral hemorrhage

目的探讨立体定向颅内血肿抽吸术对高血压性脑出血患者的临床治疗效果。方法收集2015年8月至2016年3月人院的100例高血压性脑出血患者随机分为两组，开颅组患者给予常规开颅手术，定向组患者给予立体定向颅内血肿抽吸术，比较两组患者患肢肢体功能障碍分级分布、治疗前后昏迷状态与恢复效果、总体治疗效果与术后并发症。结果定向组患者治疗后患肢肢体功能障碍分级分布明显优于开颅组，差异有统计学意义（P〈0．05）；定向组患者治疗后GCS评分与GOS—E评分显著高于开颅组，差异有统计学意义（P〈0．01）；定向组患者治疗总有效率显著高于开颅组，差异有统计学意义（P〈0．01）；定向组患者消化道出血与二次出血发生率明显低于开颅组，差异有统计学意义（P〈0．05），总体并发症发生率显著低于开颅组，差异有统计学意义（P〈0．01）。结论立体定向颅内血肿抽吸术对高血压性脑出血患者的临床治疗效果显著．安全性较高．借鉴意义莺大。

Objective To investigate the clinical effect of stereotactic intracranial hematoma aspiration tor patients with hypertensive intracerebral hemorrhage （HICH）. Methods 100 patients with HICH in our hospital from August 2015 to March 2016 were randomly divided into two groups. The patients in craniotomy group were treated with conventional craniotomy, while the patients in stereotactic group were treated with stereotactic intracranial hematoma aspiration. Analyzed the physical dysfunction grade distribution, comatose state before and after treatment, the recovery effect, the overall treatment effect, postoperative complications of two groups. Results The physical dysfunction grade distribution in stereotactic group was significantly better than that in craniotomy group, with statistically significant difference （P〈0.05）. GCS score and GOS-E score in stereotactic group were higher than those in craniotomy group, with statistically significant differences （P〈0.01）. The total efficiency in stereotactic group was significantly higher than that in craniotomy group, with statistically significant difference （P〈0.01）. The incidence of gastrointestinal bleeding and secondary hemorrhage in stereotactic group were significantly lower than those in craniotomy group, with statistically significant differences （P〈0.05）; the overall incidence of complications in stereotactic group was significantly lower than that in craniotomy group, with statistically significant difference （P〈0.01）. Conclusion Stereotactic intracranial hematoma aspiration has significant clinical effect in patients with hypertensive intracerebral hemorrhage, of higher security, with great clinical significance.