急性期高血压脑出血患者经微创颅内血肿清除术和去骨瓣减压血肿清除术治疗的效果观察

Minimally invasive evacuation of intracranial hematoma and decompressive craniectomy on removal of hematoma in patients with acute hypertensive intracerebral hemorrhage

目的:探讨微创颅内血肿清除术和去骨瓣减压血肿清除术治疗急性期高血压脑出血的效果。方法:收治急性期高血压脑出血患者100例,对照组给予去骨瓣减压血肿清除术治疗,观察组给予微创颅内血肿清除术治疗。比较两组治疗效果。结果:治疗后,观察组患者美国国立卫生研究院卒中量表(NIHSS)评分低于对照组,Barthel指数(BI)高于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论:微创颅内血肿清除术治疗急性期高血压脑出血效果显著。

Objective：To explore the effect of minimally invasive evacuation of intracranial hematoma and decompressive craniectomy,and evacuation of hematoma in the treatment of acute hypertensive intracerebral hemorrhage.Methods：100 patients with acute hypertensive intracerebral hemorrhage were treated.The control group were treated with depressive hematoma removal by depressive craniectomy,and the observation group were treated with minimally invasive intracranial hematoma clearance.Results：After the treatment,the NIHSS score of the observation group was lower than that of the control group,and the BI score was higher than that of the control group（P〈0.05）,and the incidence of complications in the observation group was lower than that of the control group（P〈0.05）.Conclusion：Minimally invasive evacuation of intracranial hematoma is effective in treating acute hypertensive intracerebral hemorrhage.