微创血肿清除术治疗高血压脑出血的疗效及安全性

Efficacy and safety of mini-invasive evacuation of hematoma in treatment of hypertensive cerebral hemorrhage

目的分析微创血肿清除术与开颅血肿清除术治疗脑出血的临床疗效及安全性。方法选取2016年1月~12月本院收治的76例高血压脑出血患者作为研究对象,按随机数字表法将其分为两组,每组38例。对照组给予常规开颅血肿清除术治疗,观察组采取微创血肿清除术治疗,观察两组的临床疗效及并发症发生情况。结果观察组优良率为84.21%,高于对照组的52.63%,差异有统计学意义(P<0.05);观察组术后相关并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论微创血肿清除术应用于高血压脑出血治疗中效果确切,利于促进患者神经功能的恢复,安全性良好,临床普及价值高。

Objective To analyze the clinical efficacy and safety of mini-invasive evacuation of hematoma and craniotomy evacuation of hematoma in treatment of cerebral hemorrhage.Methods 76 patients with hypertensive cerebral hemorrhage treated from January to December 2016 were selected,and they were divided into two groups by random number table,38 cases in each group.Control group was given craniotomy evacuation of hematoma,while observation group was treated with mini-invasive evacuation of hematoma.The clinical efficacy and complications in two groups were observed.Results The effective rate of observation group was 84.21%,which was higher than 52.63%of control group(P<0.05);The incidence of postoperative complications in observation group was lower than that in control group(P<0.05).Conclusion Mini-invasive evacuation of hematoma in treatment of hypertensive cerebral hemorrhage is effective,it can promote recovery of nerve function and have better safety,which has high clinical value of promotion.