微创颅内血肿清除术治疗高血压脑出血的临床疗效

Clinical Effect of Minimally Invasive Intracranial Hematoma Evacuation in the Treatment of Hypertensive Cerebral Hemorrhage

目的探讨高血压脑出血实施微创颅内血肿清除术治疗的临床疗效果。方法方便选取该院2015年5月—2016年5月收治的84例高血压脑出血患者,随机分为两组,分别实施微创颅内血肿清除术治疗(43例)和常规开颅血肿清除术治疗(41例)。记录两组患者的手术时间和术中出血量以及住院天数,治疗前和治疗后7 d,分别对患者进行NIHSS评分,并进行疗效判定。结果微创血肿清除组的手术时间和术中出血量以及住院天数分别为(2.15±1.20)h、(55.12±10.23)m L、(14.25±1.23)d,均显著短于或者少于开颅血肿清除组的(4.25±2.33)h、(423.15±12.25)m L、(24.13±2.15)d,经比较差异有统计学意义(P<0.05);治疗后,微创血肿清除组的NIHSS评分显著低于开颅血肿清除组,经比较差异有统计学意义(P<0.05);微创血肿清除组的治疗总有效率为86.05%,显著高于开颅血肿清除组的60.98%,经比较差异有统计学意义(P<0.05)。结论高血压脑出血实施微创颅内血肿清除术治疗可以获得理想的效果。

Objective To investigate the clinical effect of minimally invasive treatment of hypertensive intracerebral hemorrhage in the treatment of minimally invasive intracranial hematoma. Methods Convenient selection 84 cases of hypertensive cerebral hemorrhage in our hospital from May 2015 to May 2016 were randomly divided into two groups, and 41 cases were treated with minimally invasive treatment（43 cases） and routine craniotomy. The operation time of the two groups were recorded, the amount of bleeding during operation and the number of days in hospital, before treatment and after treatment were recorded. The NIHSS score was 7d, and the curative effect was determined. Results The amount of bleeding of minimally invasive group, operative time and hospitalization days were（2.15 ±1.20）h、（55.12 ±10.23）m L、（14.25 ±1.23）d and were significantly shorter than or less than the hematoma removal group of（4.25±2.33）h、（423.15±12.25）m L、（24.13±2.15）d, the difference were statistically significant（P〈0.05）; after treatment, minimally invasive group NIHSS scores were significantly lower than craniotomy hematoma removal group, the difference was statistically significant（P〈0.05）; minimally invasive treatment group, the total effective rate was 86.05%, significantly higher than that of hematoma removal group 60.98%,the differences were statistically significant（P〈0.05）.Conclusion Minimally invasive treatment of hypertensive intracerebral hemorrhage with minimally invasive intracranial hematoma can achieve the desired results.