小骨窗开颅术治疗高血压脑出血的疗效分析

Therapeutic effect of small bone window craniotomy for hypertensive intracerebral hemo

目的研究小骨窗开颅术治疗高血压脑出血的疗效.方法选取2017年1月至2018年10月本院接诊的高血压脑出血患者114例,随机分为实验组(57例)和对照组(57例).对照组接受常规骨瓣开颅手术治疗,实验组接受小骨窗开颅术治疗,对比两组患者的疗效.结果接受小骨窗开颅术治疗的实验组患者治疗有效率以及血肿清除率高于对照组,手术用时和患者住院天数均少于对照组,ADL评分、并发症发生率低于对照组,差异均有统计学意义(P<0.05).同时实验组患者病死率低于对照组,两组比较差异无统计学意义.结论小骨窗开颅术用于高血压脑出血治疗,患者血肿清除、临床症状改善效果好,治疗有效率高,并且并发症发生率、病死率低,值得临床推广应用.

Objective To study the curative effect of small bone window craniotomy for hypertensive intracerebral hemorrhage. Methods A to- tal of 114 patients with hypertensive intracerebral hemorrhage who were admitted to our hospital from January 2017 to October 2018 were randomly divided into experimental group (57 cases) and control group (57 cases). The control group received conventional craniotomy and the experimental group received small bone window craniotomy. The efficacy of the two groups was compared. Results The effective rate of treatment and hemato- ma clearance in the experimental group treated with small bone window craniotomy were higher than those in the control group. The time of surgery and hospitalization were lower than that of the control group. The ADL score and complication rate were lower than those of the control group, the differences was statistically significant (P<0.05). At the same time, the mortality rate of the experimental group was lower than that of the control group, and the difference between the two groups was not significant. Conclusion Small bone window craniotomy is used for the treatment of hy- pertensive cerebral hemorrhage. The patients have good hematoma clearance, clinical symptoms improvement effect, high treatment efficiency, good treatment effect, low complication rate and low mortality rate, which is worthy of clinical application.