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高血压脑出血手术治疗的临床疗效分析及评价 被引量:4

Clinical analysis and evaluation of surgical treatment for hypertensive intracerebral hemorrhage
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摘要 目的分析手术治疗高血压脑出血的临床效果。方法 2013年1月至2018年4月于本院收治的高血压脑出血患者中选取60例,以治疗方式为依据,分为两组,对照组患者行常规保守治疗,观察组患者行微创颅内血肿清除术治疗,对比两组患者治疗前后血肿周围水肿量、血肿量、炎症因子变化情况。结果观察组治疗后血肿量大于对照组,血肿周围水肿量少于对照组,差异有统计学意义(P<0.05);与治疗7 d对比,两组治疗14 d时TNF-α、IL-6均显著降低,且观察组低于对照组(P<0.05)。结论微创颅内血肿清除术治疗高血压脑出血的临床效果显著,可推广。 Objective To analyze the clinical effect of surgical treatment of hypertensive intracerebral hemorrhage. Methods From January 2013 to April 2018, 60 patients with hypertensive intracerebral hemorrhage who were treated in our hospital were selected. Based on the treatment method, they were divided into two groups. The control group received routine conservative treatment, and the observation group received treatment. Minimally invasive treatment of intracranial hematoma removal was performed to compare the changes of hematoma volume, hematoma volume, and inflammatory factors before and after treatment in both groups. Results The amount of hematoma in the observation group was larger than that in the control group, and the amount of edema around the hematoma in the observation group was less than that in the control group (P<0.05), and the TNF-α IL-6 level in the observation group was significantly lower than that in the control group on the 14th day after treatment (P<0.05). Conclusion The clinical effect of minimally invasive intracerebral hematoma removal for hypertensive intracerebral hemorrhage is remarkable and can be popularized.
作者 陈志 Chen Zhi(Jiangxi Yingtan People' s Hospital, Yingtan, Jiangxi, 335000, China)
出处 《当代医学》 2019年第8期16-17,共2页 Contemporary Medicine
关键词 保守治疗 手术治疗 高血压脑出血 临床效果 对比 Conservative treatment Surgical treatment Hypertensive cerebral hemorrhage Clinical effect Contrast
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