额部钻颅血肿引流术治疗高血压基底节区脑出血的临床效果

The clinical effect of drainage of hematoma by forehead drilling in the treatment of hypertensive basal ganglia cerebral hemorrhage

目的:探讨额部钻颅血肿引流术治疗高血压基底节区脑出血的临床效果。方法:2017年2月-2018年2月收治高血压基底节区脑出血患者100例,随机分为两组。对照组采用颞部入路钻颅血肿引流术治疗;观察组采用额部钻颅血肿引流术治疗。比较两组治疗效果。结果:观察组患者术后并发症、神经功能缺损评分、Barthel指数、术中出血量、手术时间及住院时间均优于对照组,差异有统计学意义(P<0.05)。结论:额部钻颅血肿引流术治疗高血压基底节区脑出血患者,效果确切,可减少创伤和治疗时间,更好改善神经功能和生活能力。

Objective:To explore the clinical effect of drainage of hematoma by forehead drilling in the treatment of hypertensive basal ganglia cerebral hemorrhage.Methods:From February 2017 to February 2018,100 patients with hypertensive basal ganglia cerebral hemorrhage were selected and randomly divided into two groups.In the control group,the hematoma drainage was performed by temporal approach.The patients in the observation group were treated with drainage of hematoma by forehead drilling.We compared the efficacy of the two groups.Results:In the observation group,postoperative complications,neurological deficit score,Barthel index,intraoperative bleeding volume,operation time and hospitalization time were all better than those in the control group,the difference was statistically significant(P<0.05).Conclusion:The clinical effect of drainage of hematoma by forehead drilling in the treatment of hypertensive basal ganglia cerebral hemorrhage is definite,it can reduce the time of trauma and treatment,and improve the nerve function and life ability.