不同手术时机治疗高血压脑出血效果及预后的分析

The Effect and Prognosis in the Treatment of Hypertensive Intracerebral Hemorrhage on Different Operative Time

目的通过不同手术时间脑出血患者预后比较,探讨高血压脑出血手术时机的选择。方法96例高血压脑出血手术患者分为三组:超早期组(≤6 h手术),早期组(7~24 h手术),晚期组(>24 h手术),通过GOS及Barthel指数评估预后。结果超早期与早期组患者2周后GOS评分与半年后Barthel指数较晚期组高(P<0.05),超早期组与早期组之间比较无显著性差异(P>0.05)。结论高血压脑出血早期手术能够最大程度恢复神经功能。

Objective Through comparing the prognosis of patients with hypertensive intracerebral hemorrhage on different operative time, to explore the choice of operative time for hypertensive intracerebral hemorrhage. Methods 96 cases of hypertensive cerebral hemorrhage patients were divided into three groups, super early group（6 h operation）, early group（7~24 h operation） and late group（ 24 h operation）. Prognosis was assessed by GOS score and Barthel index. Results The GOS score after 2 weeks and the Barthel index after half a year in the super early group and the early group were higher than those in the late group（P〈0.05）. There was no significant difference between the super early group and the early group（P〈0.05）. Conclusion The early operation of hypertensive intracerebral hemorrhage can restore the nerve function to the maximum extent and reduce the mortality and disability rate.