去大骨瓣减压术在脑出血中的应用

Application of Decompressive Craniectomy in Cerebral Hemorrhage

目的对重症高血压基底节区脑出血患者接受骨瓣减压术的临床效果进行研究分析。方法 2016年1月—2017年1月我院对重症高血压基底节区脑出血患者开展了分析研究,将患者分成对照组和观察组,对照组使用常规开颅血肿清除术,观察组使用去大骨瓣减压术,对比分析治疗情况。结果观察组的临床治疗有效率是93.3%,对照组的临床治疗有效率是80.0%,P<0.05。观察组患者ADL评分平均是(1.2±0.4)分,观察组平均是(2.7±0.6)分,两组的评分差异存在统计学意义,P<0.05。结论早期使用大骨瓣减压术对重症高血压基底节区脑出血患者的治疗效果比较明显。

Objective To study the clinical effect of decompressive craniectomy for severe hypertensive basal ganglia hemorrhage. Methods From January 2016 to January 2017, the patients with hypertensive basal ganglia intracerebral hemorrhage were analyzed and studied in our hospital. The patients were divided into control group and observation group. The control group was treated with routine craniotomy hematoma, and the observation group was treated with decompressive craniectomy, and the treatment situation was compared and analyzed. Results The clinical effective rate of the observation group was 93.3%, while that of the control group was 80.0%, P〈0.05. The average score of ADL in the observation group was（1.2±0.4）, while that of the control group was（2.7±0.6）, and the scores in the two groups were statistically different, P〈0.05. Conclusion Early decompressive craniectomy for severe hypertensive basal ganglia hemorrhage is more effective.