超早期小骨窗微创脑出血清除术对高血压脑出血的效果

Effect of Hypertensive Cerebral Hemorrhage by Minimally Invasive Removal of Small Bone Window in Super Early Stage

目的研究分析超早期小骨窗微创脑出血清除术对高血压脑出血的治疗效果。方法选取2016年8月—2018年3月在我院接受治疗的高血压脑出血患者88例,随机分成对照组和研究组,对照组患者采取常规治疗方法,研究组采用超早期小骨窗微创脑出血清除术治疗,观察比较两组患者的临床疗效以及临床指标。结果研究组患者显效34例,有效6例,无效4例,总有效率为90.9%,临床疗效明显优于对照组(P<0.05),且研究组患者的手术时间为(3.3±1.2)h,住院时间为(20.7±2.2)d,血肿消除率为88.64%,并发症发生率为9.09%,均少于对照组(P<0.05)。结论超早期小骨窗微创下血肿清除术治疗高血压脑出血的效果理想,加强护理干预措施有利于降低不良反应。

Objective To study and analyze the therapeutic effect of hypertensive intracerebral hemorrhage after minimally invasive removal with small bone window in super early stage.Methods 88 cases of hypertensive intracerebral hemorrhage treated in our hospital from August 2016 to March 2018 were selected.The patients in the study group were given intravenous anesthesia combined with minimally invasive hematoma evacuation and intensive nursing.The clinical efficacy and clinical indicators of the two groups were observed and compared.Results In the study group,34 cases were markedly effective,6 cases were effective,4 cases were invalid,the total effective rate was 90.9%,and the clinical efficacy was significantly better than that of the control group(P<0.05).The operation time,hospitalization time,hematoma elimination rate and complication rate of the study group were(3.3±1.2)h,(20.7±2.2)d,88.64%and 9.09%respectively,which were less than those of the control group(P<0.05).Conclusion Hypertensive intracerebral hemorrhage after minimally invasive removal with small bone window in super early stage is ideal,strengthen nursing intervention measures are conducive to reduce adverse reactions less.