高血压脑出血立体定向穿刺与内科保守治疗的临床比较分析

Clinical comparative analysis of stereotactic puncture and medical conservative treatment of hypertensive intracerebral hemorrhage

目的探讨高血压脑出血立体定向穿刺与内科保守治疗的临床比较。方法收集我院神经外科2016年1月~2018年2月100例高血压脑出血患者,根据治疗方案分组。保守组开展内科保守方法,立体组开展立体定向穿刺手术。分析效果、高血压脑出血血肿清除的时间、影像学特征正常时间、住院时间、施术前后患者生活能力、血肿量、意识状态评分、致残比例。结果立体组效果、生活能力、血肿量、意识状态评分、高血压脑出血血肿清除的时间、影像学特征正常时间、住院时间、致残比例均显著和保守组比较有优势,差异有统计学意义(P<0.05)。结论高血压脑出血患者行立体定向穿刺手术效果确切。

Objective To explore clinical comparison of stereotactic puncture and medical conservative treatment of hypertensive intracerebral hemorrhage. Methods 100 patients with hypertensive intracerebral hemorrhage who were treated in department of neurosurgery in our hospital were selected and they were divided into two groups according to treatment regimens.The conservative group was given medical conservative treatment while the stereoscopic group was given stereotactic puncture surgery.Curative effects,time of hematoma removal of hypertensive cerebral hemorrhage,the normal time of imaging features,hospital stay,living ability,hematoma volume and consciousness status scores before and after operation and disability ratio of patients with were analyzed. Results Curative effects,living ability,hematoma volume,consciousness status scores,time of hematoma removal of hypertensive cerebral hemorrhage,the normal time of imaging features,hospital stay and disability ratio of the stereoscopic group were significantly better than those of the conservative group,and the difference was statistically significant(P<0.05). Conclusion Stereotactic puncture surgery in patients with hypertensive cerebral hemorrhage has accurate surgical effect.